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HERITAGE FAMILY MEDICINE
NPI 1427136977
Family Medicine in Olympia, WA

Active since November 01, 2006CLIA 50D1050066 · Waiver
4001 HARRISON AVE NW STE 102, OLYMPIA, WA 98502(360) 704-2362(360) 350-1445 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2026, Aug 14, 2025, Mar 26, 2021 (3 updates tracked since 2021).

About Heritage Family Medicine NPPES

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

HERITAGE FAMILY MEDICINE (NPI 1427136977) is a healthcare organization registered as a family medicine in Olympia, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Rajwant Kler, Owner, as its authorized official.

NPPES Registry Identity

NPI1427136977
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERITAGE FAMILY MEDICINE
Location Address4001 HARRISON AVE NW STE 102Olympia, WA 98502-5084
Mailing Address4001 Harrison Ave Nw Ste 102Olympia, WA 98502-5084 · (360) 704-2362 · Fax (360) 350-1445
Phone(360) 704-2362
Fax(360) 350-1445
Organization SubpartNo
Authorized OfficialRajwant KlerOwner · (209) 470-7774
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1427136977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4001 HARRISON AVE NW STE 102, Olympia, WA 98502
Open in Google Maps ↗

Other Identifiers 3

Other6220HEWA · Group Rider
Medicaid7136914WA
Other0219928WA · Labor And Industries Wa

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heritage Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Heritage Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Simran Bal, FNP
Nurse Practitioner
NPI 1831951151
4001 HARRISON AVE NW
Olympia, WA 98502
(360) 704-2362
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Forman Serdar, ARNP
Nurse Practitioner
NPI 1629325204
200 LILLY RD NE STE C
Olympia, WA 98506
(360) 918-8336
✔ PECOS✔ Accepts Medicare5.1 mi
Kelly Lagervall, ARNP
Nurse Practitioner
NPI 1033947643
539 US HIGHWAY 12
Chehalis, WA 98532
(253) 350-5339
✔ PECOS✔ Accepts Medicare35 mi
Rajwant Kler
Nurse Practitioner
NPI 1265139166
33613 39TH AVE S
Federal Way, WA 98001
(209) 470-7774
✔ PECOS✔ Accepts Medicare36 mi

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 of Waiver 50D1050066

Heritage Family Medicine · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D1050066
Laboratory TypeClinic
Certificate Effective DateApril 30, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmandeep K. Mann
Laboratory Phone(360) 704-2362
Laboratory LocationHeritage Family Medicine4001 Harrison Ave NW Ste 101, Olympia, WA 98502
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Heritage Family Medicine's NPI number?

The NPI number for Heritage Family Medicine is 1427136977. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Heritage Family Medicine located?

Heritage Family Medicine is located at 4001 Harrison Ave NW Ste 102, Olympia, WA 98502. The listed phone number is (360) 704-2362.

What is Heritage Family Medicine's specialty?

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

Is Heritage Family Medicine enrolled in Medicare?

Yes. Heritage Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Heritage Family Medicine. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heritage Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1050066) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heritage Family Medicine accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Heritage Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heritage Family Medicine was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.