KML 814 PLLC
NPI 1417720186
Nurse Practitioner - Family in Edinboro, PA
About Kml 814 Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KML 814 PLLC (NPI 1417720186), doing business as Walnut Creek Health, is a healthcare organization registered as a family in Edinboro, Pennsylvania and active in the NPI registry since November 2023. The organization lists William Leone, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kml 814 Pllc 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 Kml 814 PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kml 814 PLLC's NPI number?
The NPI number for Kml 814 PLLC is 1417720186. It was assigned to this organization in the NPPES registry on November 3, 2023. The provider is doing business as Walnut Creek Health.
Where is Kml 814 PLLC located?
Kml 814 PLLC is located at 11185 Edinboro Rd Unit D, Edinboro, PA 16412. The listed phone number is (814) 566-8800.
What is Kml 814 PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kml 814 PLLC enrolled in Medicare?
Yes. Kml 814 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kml 814 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kml 814 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kml 814 PLLC was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kml 814 Pllc · NPI 1417720186
Family organization in Edinboro, Pennsylvania. Organization record, active in the CMS NPPES registry since November 3, 2023.
## Identity
- **NPI:** 1417720186 (Entity type: Organization)
- **Enumerated:** November 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Walnut Creek Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** William Leone, PRACTICE MANAGER
## Practice location
- **Address:** 11185 EDINBORO RD UNIT D, Edinboro, PA 16412-1080
- **Phone:** (814) 566-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417720186) · Data from the CMS NPPES public registry.