MAIN STREET FAMILY MEDICINE, LLC
NPI 1528097433
Nurse Practitioner - Family in Whitesville, KY
About Main Street Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET FAMILY MEDICINE, LLC (NPI 1528097433) is a healthcare organization registered as a family in Whitesville, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 11, 2028, maintains a secondary practice location in Owensboro, and lists Cynthia Dianne Glenn-birkhead, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 2
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)
Main Street Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Main Street 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 (5)
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 18D1055208
Main Street Family Medicine · Whitesville, KYFrequently 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 Main Street Family Medicine, LLC's NPI number?
The NPI number for Main Street Family Medicine, LLC is 1528097433. It was assigned to this organization in the NPPES registry on July 2, 2006.
Where is Main Street Family Medicine, LLC located?
Main Street Family Medicine, LLC is located at 10015 Main St, Whitesville, KY 42378. The listed phone number is (270) 233-1884.
What is Main Street Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Main Street Family Medicine, LLC enrolled in Medicare?
Yes. Main Street Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Main Street Family Medicine, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Main Street Family Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1055208) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Main Street Family Medicine, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Main Street 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 Main Street Family Medicine, LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Main Street Family Medicine, Llc · NPI 1528097433
Family organization in Whitesville, Kentucky. Organization record, active in the CMS NPPES registry since July 2, 2006.
## Identity
- **NPI:** 1528097433 (Entity type: Organization)
- **Enumerated:** July 2, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Glenn-Birkhead, OWNER
## Practice location
- **Address:** 10015 MAIN ST, Whitesville, KY 42378-9557
- **Phone:** (270) 233-1884 · **Fax:** (270) 233-9520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2022
- **Other identifiers:** Other PASSPORT (KY); Other BLUE CROSS BLUE SHIE (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528097433) · Data from the CMS NPPES public registry.