ST MARYS FAMILY PRACTICE, PA
NPI 1629252366
Clinic/Center - Primary Care in Saint Marys, KS

Active since December 18, 2007CLIA 17D1078226 · Waiver
515 W BERTRAND AVE, SAINT MARYS, KS 66536(785) 437-2105(785) 437-2104 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About St Marys Family Practice, Pa NPPES

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

ST MARYS FAMILY PRACTICE, PA (NPI 1629252366) is a healthcare organization registered as a primary care in Saint Marys, Kansas and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists David Bradley Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1629252366
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST MARYS FAMILY PRACTICE, PA
Location Address515 W BERTRAND AVESaint Marys, KS 66536-1618
Mailing Address515 W Bertrand Ave, P.o. Box 56Saint Marys, KS 66536-1618 · (785) 437-2105 · Fax (785) 437-2104
Fax(785) 437-2104
Organization SubpartNo
Authorized OfficialDavid Bradley JonesOwner · (785) 437-2105
Enumeration DateDecember 18, 2007
Last NPPES UpdateDecember 12, 2014
NPI 1629252366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in KS · 04-21765
515 W BERTRAND AVE, Saint Marys, KS 66536

Other Identifiers 1

Medicare UPINB69318

Accepted 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 17D1078226

St Marys Family Practice · St Marys, KS
Active · expires Nov 2, 2026
CLIA Number17D1078226
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDavid B. Jones, MD
Laboratory Phone(785) 437-2105
Laboratory LocationSt Marys Family Practice532 Bertrand, St Marys, KS 66536
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
515 W BERTRAND AVE
SAINT MARYS, KS 66536

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 St Marys Family Practice, PA's NPI number?

The NPI number for St Marys Family Practice, PA is 1629252366. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is St Marys Family Practice, PA located?

St Marys Family Practice, PA is located at 515 W Bertrand Ave, Saint Marys, KS 66536. The listed phone number is (785) 437-2105.

What is St Marys Family Practice, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does St Marys Family Practice, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1078226) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Marys Family Practice, PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list St Marys Family Practice, 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 St Marys Family Practice, PA was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.