IMPERIAL BLUE MEDICAL LLC
NPI 1508669052
Nurse Practitioner - Family in Ruckersville, VA
About Imperial Blue Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPERIAL BLUE MEDICAL LLC (NPI 1508669052), doing business as Ruckersville Urgent Care, is a healthcare organization registered as a family in Ruckersville, Virginia and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Kelsey Morris, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Imperial Blue Medical Llc 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 Imperial Blue Medical LLC, 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 49D2337513
Imperial Blue Medical LLC Dba Ruckersville Urgent Care · Ruckersville, VAFrequently 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 Imperial Blue Medical LLC's NPI number?
The NPI number for Imperial Blue Medical LLC is 1508669052. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Ruckersville Urgent Care.
Where is Imperial Blue Medical LLC located?
Imperial Blue Medical LLC is located at 8296 Seminole Trl, Ruckersville, VA 22968. The listed phone number is (434) 326-7531.
What is Imperial Blue Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Imperial Blue Medical LLC enrolled in Medicare?
Yes. Imperial Blue Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Imperial Blue Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Imperial Blue Medical LLC. 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 Imperial Blue Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2337513) is associated with this NPI, valid through January 24, 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 Imperial Blue Medical LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Imperial Blue Medical Llc · NPI 1508669052
Family organization in Ruckersville, Virginia. Organization record, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1508669052 (Entity type: Organization)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Ruckersville Urgent Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kelsey Morris, OWNER
## Practice location
- **Address:** 8296 SEMINOLE TRL, Ruckersville, VA 22968-3492
- **Phone:** (434) 326-7531
## 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:** June 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508669052) · Data from the CMS NPPES public registry.