VANCE FAMILY MEDICINE, PA
NPI 1619938479
Clinic/Center - Rural Health in Henderson, NC
About Vance Family Medicine, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANCE FAMILY MEDICINE, PA (NPI 1619938479) is a healthcare organization registered as a rural health in Henderson, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through March 31, 2028 and lists Khanh T Vu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Vance Family Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Vance Family Medicine, PA, which bills Medicare for the services they deliver. Of these, 10 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 26Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 34D0723179
Vance Family Medicine PA · Henderson, NCFrequently 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 Vance Family Medicine, PA's NPI number?
The NPI number for Vance Family Medicine, PA is 1619938479. It was assigned to this organization in the NPPES registry on March 31, 2006.
Where is Vance Family Medicine, PA located?
Vance Family Medicine, PA is located at 381 Ruin Creek Rd, Henderson, NC 27536. The listed phone number is (252) 430-0666.
What is Vance Family Medicine, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Vance Family Medicine, PA enrolled in Medicare?
Yes. Vance Family Medicine, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vance Family Medicine, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 2 Medicare specialties reassign their Medicare billing to Vance Family Medicine, PA. 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 (19) and Family Practice (7). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vance Family Medicine, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0723179) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vance Family Medicine, PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Vance Family Medicine, PA 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 Vance Family Medicine, PA was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Vance Family Medicine, Pa · NPI 1619938479
Rural Health organization in Henderson, North Carolina. Organization record, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1619938479 (Entity type: Organization)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Khanh Vu, OWNER
## Practice location
- **Address:** 381 RUIN CREEK RD, Henderson, NC 27536-2932
- **Phone:** (252) 430-0666 · **Fax:** (252) 430-7503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Family Practice (7); 10 practice at this address; [full list](https://npiprofile.com/npi/1619938479/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2010
- **Other identifiers:** Medicaid 344628A (NC); Medicare OSCAR/certification 343951 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619938479) · Data from the CMS NPPES public registry.