EXCELA SQUARE FRICK PRIMARY CARE
NPI 1679045827
Internal Medicine in Mt Pleasant, PA
About Excela Square Frick Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXCELA SQUARE FRICK PRIMARY CARE (NPI 1679045827) is a healthcare organization registered as an internal medicine in Mt Pleasant, Pennsylvania and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through May 31, 2027, maintains a secondary practice location in Mt Pleasant, and lists Renee M Varney, Lead Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 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)
Excela Square Frick Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
668Medicare enrollment records show 668 clinicians reassign Medicare billing to Excela Square Frick Primary Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 43
Nearest to this location (20)
See all 668Mount Pleasant, PA 15666
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 39D2226479
Excela Square Frick Primary Care · Mount Pleasant, PAFrequently 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 Excela Health Physician Practices, Inc.'s NPI number?
The NPI number for Excela Health Physician Practices, Inc. is 1679045827. It was assigned to this organization in the NPPES registry on December 28, 2018. The provider is doing business as Excela Square Frick Primary Care.
Where is Excela Health Physician Practices, Inc. located?
Excela Health Physician Practices, Inc. is located at 508 S Church St Ste 100, Mt Pleasant, PA 15666. The listed phone number is (724) 423-4051.
What is Excela Health Physician Practices, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Excela Health Physician Practices, Inc. enrolled in Medicare?
Yes. Excela Health Physician Practices, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Excela Health Physician Practices, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 668 clinicians in 43 Medicare specialties reassign their Medicare billing to Excela Health Physician Practices, Inc.. 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 (124), Family Practice (94) and Certified Registered Nurse Anesthetist (CRNA) (79). Of these, 5 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Excela Health Physician Practices, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2226479) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Excela Health Physician Practices, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Excela Health Physician Practices, Inc. 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 Excela Health Physician Practices, Inc. was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Excela Square Frick Primary Care · NPI 1679045827
Internal Medicine organization in Mt Pleasant, Pennsylvania. Organization record, active in the CMS NPPES registry since December 28, 2018.
## Identity
- **NPI:** 1679045827 (Entity type: Organization)
- **Enumerated:** December 28, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Excela Health Physician Practices, Inc.
- **Organization subpart:** Yes (part of Excela Health Holding Company)
- **Authorized official:** Renee Varney, LEAD CREDENTIALING COORDINATOR
## Practice location
- **Address:** 508 S CHURCH ST STE 100, Mt Pleasant, PA 15666-1702
- **Phone:** (724) 423-4051 · **Fax:** (724) 522-4002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 668 clinicians in 43 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (124), Family Practice (94), Certified Registered Nurse Anesthetist (CRNA) (79); 5 practice at this address and 55 within 10 miles; [full list](https://npiprofile.com/npi/1679045827/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679045827) · Data from the CMS NPPES public registry.