AFFINITY FAMILY HEALTH AND WELLNESS, PLLC
NPI 1568938090
Nurse Practitioner - Family in Olney, IL

Q: What is Affinity Family Health And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 23, 2018CLIA 14D2194615 · Waiver

1108 N EAST ST, OLNEY, IL 62450(618) 429-9470(833) 944-2035 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 22, 2022, Sep 23, 2021, May 18, 2020 and 1 more (4 updates tracked since 2018).

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About Affinity Family Health And Wellness, Pllc NPPES

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

AFFINITY FAMILY HEALTH AND WELLNESS, PLLC (NPI 1568938090) is a healthcare organization registered as a family in Olney, Illinois and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through September 30, 2026, maintains a secondary practice location in Newton, and lists Jamee S Baltzell, Owner, as its authorized official.

NPPES Registry Identity

NPI1568938090

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameAFFINITY FAMILY HEALTH AND WELLNESS, PLLC

Location Address1108 N EAST STOlney, IL 62450-2462

Mailing Address1108 N East StOlney, IL 62450-2462 · (618) 429-9470 · Fax (833) 944-2035

Phone(618) 429-9470

Fax(833) 944-2035

Organization SubpartNo

Authorized OfficialJamee S BaltzellOwner · (618) 429-9470

Enumeration DateOctober 23, 2018

Last NPPES UpdateDecember 22, 20224 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1568938090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1108 N EAST ST, Olney, IL 62450

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Secondary Practice Location 1

Location 1102 N Jackson StNewton, IL 62448-1900 · Phone (618) 783-7529

Other Identifiers 3

Medicaid0001568938090IL

Medicaid325765630001IL

Medicaid351725028001IL

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

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 14D2194615

Affinity Family Health & Wellness, P L L C · Olney, IL

Active · expires Sep 30, 2026

CLIA Number14D2194615

Laboratory TypeAprn Owned Clinic

Certificate Effective DateOctober 1, 2024

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorJamie A. Niemerg

Laboratory Phone(618) 320-0960

Laboratory LocationAffinity Family Health & Wellness, P L L C1108 N East St, Olney, IL 62450

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JAMIE NIEMERG CPNP

Nurse Practitioner (Pediatrics)