DR. ANDY'S FAMILY PRACTICE , PLLC
NPI 1497996888
Clinic/Center - Primary Care in Mountain View, AR
About Dr. Andy's Family Practice , Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDY'S FAMILY PRACTICE , PLLC (NPI 1497996888) is a healthcare organization registered as a primary care in Mountain View, Arkansas and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Vasugie Anandaraj, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Dr. Andy's Family Practice , 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 Dr. Andy's Family Practice , 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.
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 04D1105574
Dr Andys Family Practice, PLLC · Mountain View, ARFrequently 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 Dr. Andy's Family Practice , PLLC's NPI number?
The NPI number for Dr. Andy's Family Practice , PLLC is 1497996888. It was assigned to this organization in the NPPES registry on March 13, 2009.
Where is Dr. Andy's Family Practice , PLLC located?
Dr. Andy's Family Practice , PLLC is located at 1809 Ozarka College Drive, Mountain View, AR 72560. The listed phone number is (870) 269-7777.
What is Dr. Andy's Family Practice , PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Dr. Andy's Family Practice , PLLC enrolled in Medicare?
Yes. Dr. Andy's Family Practice , PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr. Andy's Family Practice , PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr. Andy's Family Practice , 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.
Does Dr. Andy's Family Practice , PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1105574) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dr. Andy's Family Practice , PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Dr. Andy's Family Practice , PLLC 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 Dr. Andy's Family Practice , PLLC was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Andy's Family Practice , Pllc · NPI 1497996888
Primary Care organization in Mountain View, Arkansas. Organization record, active in the CMS NPPES registry since March 13, 2009.
## Identity
- **NPI:** 1497996888 (Entity type: Organization)
- **Enumerated:** March 13, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vasugie Anandaraj, OFFICE MANAGER
## Practice location
- **Address:** 1809 OZARKA COLLEGE DRIVE, Mountain View, AR 72560
- **Phone:** (870) 269-7777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2011
- **Other identifiers:** Medicaid 161503001 (AR); Medicare UPIN I57010 (AR); Medicare PIN 5N567 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497996888) · Data from the CMS NPPES public registry.