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CHRISTIAN CLINIC PC
NPI 1558763987
Family Medicine in Rensselaer, IN

Active since September 17, 2014CLIA 15D2072653 · Waiver
716 S COLLEGE AVE, RENSSELAER, IN 47978(219) 866-0485(219) 866-0837 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Christian Clinic Pc NPPES

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

CHRISTIAN CLINIC PC (NPI 1558763987) is a healthcare organization registered as a family medicine in Rensselaer, Indiana and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists James G Wakefield, Owner, as its authorized official.

NPPES Registry Identity

NPI1558763987
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHRISTIAN CLINIC PC
Location Address716 S COLLEGE AVERensselaer, IN 47978-3083
Mailing Address716 S College AveRensselaer, IN 47978-3083 · (219) 866-0485 · Fax (219) 866-0889
Phone(219) 866-0485
Fax(219) 866-0837
Organization SubpartNo
Authorized OfficialJames G WakefieldOwner · (219) 866-0485
Enumeration DateSeptember 17, 2014
Last NPPES UpdateSeptember 14, 2015
✔ NPI 1558763987 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 · 01060733A
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.
716 S COLLEGE AVE, Rensselaer, IN 47978
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Other Identifiers 2

Medicare UPING55729IN
Medicaid20052387OAIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 15D2072653

Christian Clinic PC · Rensselaer, IN
Active · expires Jul 23, 2027
CLIA Number15D2072653
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorJames G. Wakefield
Laboratory Phone(219) 866-0485
Laboratory LocationChristian Clinic PC716 South College Avenue, Rensselaer, IN 47978
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA LOUISE BENEDICT MSN,FNP
Nurse Practitioner (Family)
716 S COLLEGE AVE
RENSSELAER, IN 47978
Jasper County (219) 866-0485
JASPER COUNTY AFTER HOURS URGENT CARE INC
Clinic/Center (Urgent Care)
716 S COLLEGE AVE
RENSSELAER, IN 47978
Jasper County (219) 866-0485
GARRY LEE BRADY DO
General Practice
716 S COLLEGE AVE
RENSSELAER, IN 47978
Jasper County (219) 866-0485

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 Christian Clinic PC's NPI number?

The NPI number for Christian Clinic PC is 1558763987. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Christian Clinic PC located?

Christian Clinic PC is located at 716 S College Ave, Rensselaer, IN 47978. The listed phone number is (219) 866-0485.

What is Christian Clinic PC's specialty?

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

Does Christian Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2072653) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Christian Clinic PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Christian Clinic PC 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 Christian Clinic PC was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.