PRIMARY ENT
NPI 1386374593
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Savage, MN
About Primary Ent NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY ENT (NPI 1386374593) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Savage, Minnesota and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists John Luther Boone, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Ent is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Primary Ent, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 23Source: 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 24D2280302
Primary Ent · Savage, MNFrequently 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 Primary Ent, L.L.C.'s NPI number?
The NPI number for Primary Ent, L.L.C. is 1386374593. It was assigned to this organization in the NPPES registry on June 13, 2022. The provider is doing business as Primary Ent.
Where is Primary Ent, L.L.C. located?
Primary Ent, L.L.C. is located at 14020 Hwy 13 S Ste 350, Savage, MN 55378. The listed phone number is (952) 395-2500.
What is Primary Ent, L.L.C.'s specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Primary Ent, L.L.C. enrolled in Medicare?
Yes. Primary Ent, L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Ent, L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 8 Medicare specialties reassign their Medicare billing to Primary Ent, L.L.C.. 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 (11), Qualified Audiologist (4) and Otolaryngology (3). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Ent, L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2280302) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Primary Ent, L.L.C. was last updated on November 17, 2022. 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.
# Primary Ent · NPI 1386374593
Otolaryngology/Facial Plastic Surgery organization in Savage, Minnesota. Organization record, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1386374593 (Entity type: Organization)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **Legal business name:** Primary Ent, L.l.c.
- **Organization subpart:** No
- **Authorized official:** John Boone, OWNER/PRESIDENT
## Practice location
- **Address:** 14020 HWY 13 S STE 350, Savage, MN 55378-7103
- **Phone:** (952) 395-2500 · **Fax:** (952) 395-2501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Qualified Audiologist (4), Otolaryngology (3); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1386374593/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2022
- **Other identifiers:** Medicaid 1609035781 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386374593) · Data from the CMS NPPES public registry.