STONECREST FAMILY MEDICINE PLLC
NPI 1659322808
Clinic/Center - Primary Care in Shelbyville, KY
About Stonecrest Family Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONECREST FAMILY MEDICINE PLLC (NPI 1659322808) is a healthcare organization registered as a primary care in Shelbyville, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Ronald E Creque, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Stonecrest Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Stonecrest Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 18D1052501
Stonecrest Family Medicine PLLC · Shelbyville, KYFrequently 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 Stonecrest Family Medicine PLLC's NPI number?
The NPI number for Stonecrest Family Medicine PLLC is 1659322808. It was assigned to this organization in the NPPES registry on May 12, 2006.
Where is Stonecrest Family Medicine PLLC located?
Stonecrest Family Medicine PLLC is located at 101 Stonecrest Road Suite 3, Shelbyville, KY 40065. The listed phone number is (502) 633-5565.
What is Stonecrest Family Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Stonecrest Family Medicine PLLC enrolled in Medicare?
Yes. Stonecrest Family Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stonecrest Family Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stonecrest Family Medicine PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stonecrest Family Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1052501) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Stonecrest Family Medicine PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Stonecrest Family Medicine PLLC 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 Stonecrest Family Medicine PLLC was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Stonecrest Family Medicine Pllc · NPI 1659322808
Primary Care organization in Shelbyville, Kentucky. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1659322808 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ronald Creque, OWNER
## Practice location
- **Address:** 101 STONECREST ROAD, SUITE 3, Shelbyville, KY 40065
- **Phone:** (502) 633-5565 · **Fax:** (502) 633-5154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659322808) · Data from the CMS NPPES public registry.