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LIVING WATERS FAMILY MEDICINE LLC
NPI 1346950433
Nurse Practitioner - Primary Care in Hagerstown, MD

Active since November 29, 2022
1260 MARYLAND AVE STE 114, HAGERSTOWN, MD 21740(301) 900-5313(301) 235-1590 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2023, Mar 2, 2023, Feb 24, 2023 and 1 more (4 updates tracked since 2022).

About Living Waters Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WATERS FAMILY MEDICINE LLC (NPI 1346950433) is a healthcare organization registered as a primary care in Hagerstown, Maryland and active in the NPI registry since November 2022. The organization lists Lora Cole, Owner, as its authorized official.

NPPES Registry Identity

NPI1346950433
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIVING WATERS FAMILY MEDICINE LLC
Location Address1260 MARYLAND AVE STE 114Hagerstown, MD 21740-7248
Mailing AddressPo Box 602Williamsport, MD 21795-0602 · (301) 900-5313 · Fax (301) 235-1590
Phone(301) 900-5313
Fax(301) 235-1590
Organization SubpartNo
Authorized OfficialLora ColeOwner · (301) 900-5313
Enumeration DateNovember 29, 2022
Last NPPES UpdateMarch 24, 20234 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1346950433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1260 MARYLAND AVE STE 114, Hagerstown, MD 21740
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Living Waters Family Medicine 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 Living Waters Family Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lora Cole, NP
Nurse Practitioner
NPI 1639654007
1260 MARYLAND AVE STE 114
Hagerstown, MD 21740
(301) 900-5313
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Living Waters Family Medicine LLC's NPI number?

The NPI number for Living Waters Family Medicine LLC is 1346950433. It was assigned to this organization in the NPPES registry on November 29, 2022.

Where is Living Waters Family Medicine LLC located?

Living Waters Family Medicine LLC is located at 1260 Maryland Ave Ste 114, Hagerstown, MD 21740. The listed phone number is (301) 900-5313.

What is Living Waters Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Living Waters Family Medicine LLC enrolled in Medicare?

Yes. Living Waters Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Living Waters Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Living Waters Family Medicine 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.

When was this NPI record last updated?

The NPPES record for Living Waters Family Medicine LLC was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.