ACCESS FAMILY PRACTICE AND WALK-IN CLINIC
NPI 1447582267
Clinic/Center - Primary Care in Windsor Mill, MD
About Access Family Practice And Walk-in Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACCESS FAMILY PRACTICE AND WALK-IN CLINIC (NPI 1447582267) is a healthcare organization registered as a primary care in Windsor Mill, Maryland and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Modupe Debra Togun, Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Access Family Practice And Walk-in Clinic 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Access Family Practice And Walk-In Clinic, 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.
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 21D2008751
Access Family Practice And Walk-In Clinic · Windsor Mill, MDFrequently 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 Access Family Practice And Walk-In Clinic's NPI number?
The NPI number for Access Family Practice And Walk-In Clinic is 1447582267. It was assigned to this organization in the NPPES registry on February 3, 2010.
Where is Access Family Practice And Walk-In Clinic located?
Access Family Practice And Walk-In Clinic is located at 3110 N Rolling Rd, Windsor Mill, MD 21244. The listed phone number is (410) 298-1931.
What is Access Family Practice And Walk-In Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Access Family Practice And Walk-In Clinic enrolled in Medicare?
Yes. Access Family Practice And Walk-In Clinic is registered in the Medicare PECOS enrollment system.
When is Access Family Practice And Walk-In Clinic'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 (Maryland, 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 Access Family Practice And Walk-In Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Access Family Practice And Walk-In Clinic. 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.
Does Access Family Practice And Walk-In Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2008751) is associated with this NPI, valid through June 16, 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 Access Family Practice And Walk-In Clinic was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Access Family Practice And Walk-In Clinic · NPI 1447582267
Primary Care organization in Windsor Mill, Maryland. Organization record, active in the CMS NPPES registry since February 3, 2010.
## Identity
- **NPI:** 1447582267 (Entity type: Organization)
- **Enumerated:** February 3, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Modupe Togun, MEDICAL OFFICER
## Practice location
- **Address:** 3110 N ROLLING RD, Windsor Mill, MD 21244-2023
- **Phone:** (410) 298-1931 · **Fax:** (410) 298-1932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** May 20, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447582267) · Data from the CMS NPPES public registry.