WYOMING COUNTY FAMILY MEDICINE PC
NPI 1417594623
Family Medicine in Castile, NY
About Wyoming County Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYOMING COUNTY FAMILY MEDICINE PC (NPI 1417594623) is a healthcare organization registered as a family medicine in Castile, New York and active in the NPI registry since December 2019. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Dale Deahn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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)
Wyoming County Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Wyoming County Family Medicine PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 3
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 33D0686074
Wyoming County Family Medicine Arcade · Arcade, NYCertificate of Waiver 33D2221592
Wyoming County Family Medicine Attica · Attica, NYCertificate of Waiver 33D2221593
Wyoming County Family Medicine, PC Castile · Castile, NYFrequently 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 Wyoming County Family Medicine PC's NPI number?
The NPI number for Wyoming County Family Medicine PC is 1417594623. It was assigned to this organization in the NPPES registry on December 6, 2019.
Where is Wyoming County Family Medicine PC located?
Wyoming County Family Medicine PC is located at 5596 Gainesville Road, Castile, NY 14427. The listed phone number is (585) 793-9230.
What is Wyoming County Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wyoming County Family Medicine PC enrolled in Medicare?
Yes. Wyoming County Family Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wyoming County Family Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wyoming County Family Medicine PC, in Family Practice, Internal Medicine and Nurse Practitioner. 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wyoming County Family Medicine PC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Wyoming County Family Medicine PC was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wyoming County Family Medicine Pc · NPI 1417594623
Family Medicine organization in Castile, New York. Organization record, active in the CMS NPPES registry since December 6, 2019.
## Identity
- **NPI:** 1417594623 (Entity type: Organization)
- **Enumerated:** December 6, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Wy Cnty Comm Hosp)
- **Authorized official:** Dale Deahn, OWNER
## Practice location
- **Address:** 5596 GAINESVILLE ROAD, Castile, NY 14427
- **Phone:** (585) 793-9230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2022
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417594623) · Data from the CMS NPPES public registry.