KAZAN IVAN W MEMORIAL CLINIC
NPI 1568886000
Clinic/Center - Federally Qualified Health Center (FQHC) in Escalante, UT
About Kazan Ivan W Memorial Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAZAN IVAN W MEMORIAL CLINIC (NPI 1568886000) is a healthcare organization registered as a federally qualified health center (fqhc) in Escalante, Utah and active in the NPI registry since February 2014. The organization lists Evan Christensen, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
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)
Kazan Ivan W Memorial Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Kazan Ivan W Memorial Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wayne Community Health Centers Inc's NPI number?
The NPI number for Wayne Community Health Centers Inc is 1568886000. It was assigned to this organization in the NPPES registry on February 4, 2014. The provider is doing business as Kazan Ivan W Memorial Clinic.
Where is Wayne Community Health Centers Inc located?
Wayne Community Health Centers Inc is located at 570 E Moqui Ln, Escalante, UT 84726. The listed phone number is (435) 826-4374.
What is Wayne Community Health Centers Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Wayne Community Health Centers Inc enrolled in Medicare?
Yes. Wayne Community Health Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wayne Community Health Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 8 Medicare specialties reassign their Medicare billing to Wayne Community Health Centers Inc. 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. The largest specialties are Nurse Practitioner (7), Family Practice (6) and Certified Nurse Midwife (CNM) (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wayne Community Health Centers Inc accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Wayne Community Health Centers Inc 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 Wayne Community Health Centers Inc was last updated on April 21, 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.
# Kazan Ivan W Memorial Clinic · NPI 1568886000
Federally Qualified Health Center (FQHC) organization in Escalante, Utah. Organization record, active in the CMS NPPES registry since February 4, 2014.
## Identity
- **NPI:** 1568886000 (Entity type: Organization)
- **Enumerated:** February 4, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Wayne Community Health Centers Inc
- **Organization subpart:** Yes (part of Wayne Community Health Centers Inc.)
- **Authorized official:** Evan Christensen, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 570 E MOQUI LN, Escalante, UT 84726-0276
- **Phone:** (435) 826-4374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (6), Certified Nurse Midwife (CNM) (3); [full list](https://npiprofile.com/npi/1568886000/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2021
- **Other identifiers:** Other 000055193 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1568886000) · Data from the CMS NPPES public registry.