HOMETOWN FAMILY MEDICINE
NPI 1255730446
Clinic/Center - Primary Care in House Springs, MO
About Hometown Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMETOWN FAMILY MEDICINE (NPI 1255730446) is a healthcare organization registered as a primary care in House Springs, Missouri and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Renee L Willer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hometown Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Hometown Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2083368
Hometown Family Medicine · House Springs, MOFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Girl, Inc's NPI number?
The NPI number for Lake Girl, Inc is 1255730446. It was assigned to this organization in the NPPES registry on August 14, 2014. The provider is doing business as Hometown Family Medicine.
Where is Lake Girl, Inc located?
Lake Girl, Inc is located at 4581 Gravois Rd, House Springs, MO 63051. The listed phone number is (636) 671-9980.
What is Lake Girl, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lake Girl, Inc enrolled in Medicare?
Yes. Lake Girl, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Girl, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lake Girl, Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Girl, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2083368) is associated with this NPI, valid through September 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Girl, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Lake Girl, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Girl, Inc was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hometown Family Medicine · NPI 1255730446
Primary Care organization in House Springs, Missouri. Organization record, active in the CMS NPPES registry since August 14, 2014.
## Identity
- **NPI:** 1255730446 (Entity type: Organization)
- **Enumerated:** August 14, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Lake Girl, Inc
- **Organization subpart:** No
- **Authorized official:** Renee Willer, OWNER
## Practice location
- **Address:** 4581 GRAVOIS RD, House Springs, MO 63051-1374
- **Phone:** (636) 671-9980 · **Fax:** (636) 671-9981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255730446) · Data from the CMS NPPES public registry.