PICKERILL PERSONALIZED CARE LLC
NPI 1639987746
Clinic/Center - Primary Care in Lafayette, IN
About Pickerill Personalized Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PICKERILL PERSONALIZED CARE LLC (NPI 1639987746) is a healthcare organization registered as a primary care in Lafayette, Indiana and active in the NPI registry since December 2024. The organization lists Casey Lewis Pickerill, Physican, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pickerill Personalized Care Llc 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 Pickerill Personalized Care LLC, 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.
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 Pickerill Personalized Care LLC's NPI number?
The NPI number for Pickerill Personalized Care LLC is 1639987746. It was assigned to this organization in the NPPES registry on December 20, 2024.
Where is Pickerill Personalized Care LLC located?
Pickerill Personalized Care LLC is located at 2525 South St, Lafayette, IN 47904. The listed phone number is (765) 807-2325.
What is Pickerill Personalized Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pickerill Personalized Care LLC enrolled in Medicare?
Yes. Pickerill Personalized Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pickerill Personalized Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pickerill Personalized Care LLC. 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.
When was this NPI record last updated?
The NPPES record for Pickerill Personalized Care LLC was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Pickerill Personalized Care Llc · NPI 1639987746
Primary Care organization in Lafayette, Indiana. Organization record, active in the CMS NPPES registry since December 20, 2024.
## Identity
- **NPI:** 1639987746 (Entity type: Organization)
- **Enumerated:** December 20, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Casey Pickerill, PHYSICAN
## Practice location
- **Address:** 2525 SOUTH ST, Lafayette, IN 47904-3028
- **Phone:** (765) 807-2325 · **Fax:** (765) 807-2330
## 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 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639987746) · Data from the CMS NPPES public registry.