TRIBBETT FAMILY MEDICINE, LLC
NPI 1427416361
Family Medicine in Monticello, IN

Active since February 06, 2016CLIA 15D2116076 · Waiver
301 W HARRISON ST, MONTICELLO, IN 47960(574) 240-1111(574) 240-1113 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2023, Feb 7, 2016 (2 updates tracked since 2016).

About Tribbett Family Medicine, Llc NPPES

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

TRIBBETT FAMILY MEDICINE, LLC (NPI 1427416361) is a healthcare organization registered as a family medicine in Monticello, Indiana and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Charles R Tribbett, Owner, as its authorized official.

NPPES Registry Identity

NPI1427416361
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIBBETT FAMILY MEDICINE, LLC
Location Address301 W HARRISON STMonticello, IN 47960-2211
Mailing Address301 W Harrison StMonticello, IN 47960-2211 · (574) 240-1111 · Fax (574) 240-1113
Fax(574) 240-1113
Organization SubpartNo
Authorized OfficialCharles R TribbettOwner · (574) 240-1111
Enumeration DateFebruary 6, 2016
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1427416361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01036854A
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.
301 W HARRISON ST, Monticello, IN 47960

Other Identifiers 1

Medicaid100262800IN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1730969593
301 W HARRISON ST
Monticello, IN 47960
(574) 240-1111
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1164404893
301 W HARRISON STREET
Monticello, IN 47960
(574) 240-1111
✔ 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 of Waiver 15D2116076

Tribbett Family Medicine, LLC · Monticello, IN
Active · expires Jul 18, 2028
CLIA Number15D2116076
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorCharles R. Tribbett
Laboratory Phone(574) 208-5505
Laboratory LocationTribbett Family Medicine, LLC301 W Harrison St, Monticello, IN 47960
CLIA data matches this NPI record on: Address Name
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 Tribbett Family Medicine, LLC's NPI number?

The NPI number for Tribbett Family Medicine, LLC is 1427416361. It was assigned to this organization in the NPPES registry on February 6, 2016.

Where is Tribbett Family Medicine, LLC located?

Tribbett Family Medicine, LLC is located at 301 W Harrison St, Monticello, IN 47960. The listed phone number is (574) 240-1111.

What is Tribbett Family Medicine, LLC's specialty?

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

Is Tribbett Family Medicine, LLC enrolled in Medicare?

Yes. Tribbett Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tribbett Family Medicine, LLC?

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

Does Tribbett Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2116076) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tribbett Family Medicine, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Tribbett Family Medicine, LLC 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 Tribbett Family Medicine, LLC was last updated on April 5, 2023. 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.