FAMILY MEDICINE ASSOCIATES OF WYOMISSING,P.C.
NPI 1417041856
Family Medicine in Wyomissing, PA

Active since October 02, 2006CLIA 39D0943947 · Microscopy
931 PENN AVENUE, WYOMISSING, PA 19610(610) 320-9023(610) 320-9026 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Medicine Associates Of Wyomissing,p.c. NPPES

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

FAMILY MEDICINE ASSOCIATES OF WYOMISSING,P.C. (NPI 1417041856) is a healthcare organization registered as a family medicine in Wyomissing, Pennsylvania and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through April 6, 2028 and lists Kerry Drey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417041856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE ASSOCIATES OF WYOMISSING,P.C.
Location Address931 PENN AVENUEWyomissing, PA 19610
Mailing Address931 Penn AvenueWyomissing, PA 19610 · (610) 320-9023 · Fax (610) 320-9026
Fax(610) 320-9026
Organization SubpartNo
Authorized OfficialKerry DreyOffice Manager · (610) 320-9023
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 14, 2013
✔ NPI 1417041856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · 048644L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
931 PENN AVENUE, Wyomissing, PA 19610

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine Associates Of Wyomissing,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040812000138Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Medicine Associates Of Wyomissing,p.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1508828229
931 PENN AVE
Wyomissing, PA 19610
(610) 320-9023
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528020203
931 PENN AVE
Wyomissing, PA 19610
(610) 320-9023
✔ PECOS✔ Accepts MedicareSame address

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) 39D0943947

Family Medicine Assoc Of Wyomissing PC · Wyomissing, PA
Active · expires Apr 6, 2028
CLIA Number39D0943947
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorMaria A. Braun MD
Laboratory Phone(610) 320-9023
Laboratory LocationFamily Medicine Assoc Of Wyomissing PC931 Penn Avenue, Wyomissing, PA 19610
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Medicine Associates Of Wyomissing,p.C.'s NPI number?

The NPI number for Family Medicine Associates Of Wyomissing,p.C. is 1417041856. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Family Medicine Associates Of Wyomissing,p.C. located?

Family Medicine Associates Of Wyomissing,p.C. is located at 931 Penn Avenue, Wyomissing, PA 19610. The listed phone number is (610) 320-9023.

What is Family Medicine Associates Of Wyomissing,p.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine Associates Of Wyomissing,p.C. enrolled in Medicare?

Yes. Family Medicine Associates Of Wyomissing,p.C. is registered in the Medicare PECOS enrollment system.

When is Family Medicine Associates Of Wyomissing,p.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family Medicine Associates Of Wyomissing,p.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Family Medicine Associates Of Wyomissing,p.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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medicine Associates Of Wyomissing,p.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0943947) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Medicine Associates Of Wyomissing,p.C. was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.