ST MARYS FAMILY PRACTICE, PA
NPI 1629252366
Clinic/Center - Primary Care in Saint Marys, KS
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
Specialties & Licenses
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)
St Marys Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to St Marys Family Practice, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 of Waiver 17D1078226
St Marys Family Practice · St Marys, KSFrequently 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.
Is St Marys Family Practice, PA enrolled in Medicare?
Yes. St Marys Family Practice, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Marys Family Practice, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to St Marys Family Practice, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# St Marys Family Practice, Pa · NPI 1629252366
Primary Care organization in Saint Marys, Kansas. Organization record, active in the CMS NPPES registry since December 18, 2007.
## Identity
- **NPI:** 1629252366 (Entity type: Organization)
- **Enumerated:** December 18, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** David Jones, OWNER
## Practice location
- **Address:** 515 W BERTRAND AVE, Saint Marys, KS 66536-1618
- **Phone:** (785) 437-2105 · **Fax:** (785) 437-2104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2014
- **Other identifiers:** Medicare UPIN B69318
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629252366) · Data from the CMS NPPES public registry.