AT FAMILY PRACTICE GROUP PLLC
NPI 1346938685
Family Medicine in Kent, WA
About At Family Practice Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AT FAMILY PRACTICE GROUP PLLC (NPI 1346938685) is a healthcare organization registered as a family medicine in Kent, Washington and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Amandeep Mann, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
At Family Practice Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to At Family Practice Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 50D2292944
At Family Practice Group · Kent, WAFrequently 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 At Family Practice Group PLLC's NPI number?
The NPI number for At Family Practice Group PLLC is 1346938685. It was assigned to this organization in the NPPES registry on April 25, 2023.
Where is At Family Practice Group PLLC located?
At Family Practice Group PLLC is located at 24604 104th Ave SE Ste 201, Kent, WA 98030. The listed phone number is (253) 854-9799.
What is At Family Practice Group PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is At Family Practice Group PLLC enrolled in Medicare?
Yes. At Family Practice Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through At Family Practice Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to At Family Practice Group PLLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does At Family Practice Group PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2292944) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does At Family Practice Group PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list At Family Practice Group PLLC 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 At Family Practice Group PLLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# At Family Practice Group Pllc · NPI 1346938685
Family Medicine organization in Kent, Washington. Organization record, active in the CMS NPPES registry since April 25, 2023.
## Identity
- **NPI:** 1346938685 (Entity type: Organization)
- **Enumerated:** April 25, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amandeep Mann, PROVIDER
## Practice location
- **Address:** 24604 104TH AVE SE STE 201, Kent, WA 98030-5385
- **Phone:** (253) 854-9799 · **Fax:** (253) 854-9801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346938685) · Data from the CMS NPPES public registry.