PHILLIPS FAMILY MEDICAL CLINIC LLC
NPI 1346055050
Nurse Practitioner - Family in Hugo, OK
About Phillips Family Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIPS FAMILY MEDICAL CLINIC LLC (NPI 1346055050) is a healthcare organization registered as a family in Hugo, Oklahoma and active in the NPI registry since February 2025. The organization holds a CLIA Microscopy certificate valid through March 23, 2027 and lists Kendall Phillips, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Phillips Family Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillips Family Medical Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 37D2320777
Phillips Family Medical Clinic · Hugo, OKFrequently 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 Phillips Family Medical Clinic LLC's NPI number?
The NPI number for Phillips Family Medical Clinic LLC is 1346055050. It was assigned to this organization in the NPPES registry on February 10, 2025.
Where is Phillips Family Medical Clinic LLC located?
Phillips Family Medical Clinic LLC is located at 111 N 3rd St, Hugo, OK 74743. The listed phone number is (580) 372-2819.
What is Phillips Family Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Phillips Family Medical Clinic LLC enrolled in Medicare?
Yes. Phillips Family Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phillips Family Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phillips Family Medical Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Phillips Family Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2320777) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Phillips Family Medical Clinic LLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Phillips Family Medical Clinic LLC 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 Phillips Family Medical Clinic LLC was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Phillips Family Medical Clinic Llc · NPI 1346055050
Family organization in Hugo, Oklahoma. Organization record, active in the CMS NPPES registry since February 10, 2025.
## Identity
- **NPI:** 1346055050 (Entity type: Organization)
- **Enumerated:** February 10, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kendall Phillips, OWNER
## Practice location
- **Address:** 111 N 3RD ST, Hugo, OK 74743-4001
- **Phone:** (580) 372-2819 · **Fax:** (580) 372-2647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346055050) · Data from the CMS NPPES public registry.