FAMILY HEALTH CLINIC OF BURLINGTON
NPI 1295104669
Clinic/Center - Federally Qualified Health Center (FQHC) in Burlington, IN
About Family Health Clinic Of Burlington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTH CLINIC OF BURLINGTON (NPI 1295104669) is a healthcare organization registered as a federally qualified health center (fqhc) in Burlington, Indiana and active in the NPI registry since September 2015. The organization holds 3 active CLIA laboratory certificates and lists Daniel J Layman, Executive Director, 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)
Family Health Clinic Of Burlington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Family Health Clinic Of Burlington, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 45Source: 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 3
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 15D2101685
Family Health Clinic Of Burlington, The · Burlington, INCertificate for Provider-Performed Microscopy Procedures (PPMP) 15D1024482
Family Health Clinic Of Carroll County · Delphi, INCertificate of Waiver 15D2114019
Family Health Clinic Of Wolcott, The · Wolcott, INFrequently 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 Trustees Of Purdue University's NPI number?
The NPI number for Trustees Of Purdue University is 1295104669. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Family Health Clinic Of Burlington.
Where is Trustees Of Purdue University located?
Trustees Of Purdue University is located at 425 E 5th Street Suite B, Burlington, IN 46915. The listed phone number is (765) 564-3016.
What is Trustees Of Purdue University's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Trustees Of Purdue University enrolled in Medicare?
Yes. Trustees Of Purdue University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trustees Of Purdue University?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 6 Medicare specialties reassign their Medicare billing to Trustees Of Purdue University. 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. The largest specialties are Nurse Practitioner (25), Qualified Speech Language Pathologist (7) and Clinical Social Worker (5). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Trustees Of Purdue University hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Trustees Of Purdue University accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Trustees Of Purdue University 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 Trustees Of Purdue University was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Family Health Clinic Of Burlington · NPI 1295104669
Federally Qualified Health Center (FQHC) organization in Burlington, Indiana. Organization record, active in the CMS NPPES registry since September 16, 2015.
## Identity
- **NPI:** 1295104669 (Entity type: Organization)
- **Enumerated:** September 16, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Trustees Of Purdue University
- **Organization subpart:** No
- **Authorized official:** Daniel Layman, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 425 E 5TH STREET, SUITE B, Burlington, IN 46915
- **Phone:** (765) 564-3016 · **Fax:** (765) 564-2608
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Qualified Speech Language Pathologist (7), Clinical Social Worker (5); 1 practice at this address; [full list](https://npiprofile.com/npi/1295104669/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2022
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295104669) · Data from the CMS NPPES public registry.