SUPERIOR URGENT CARE, LLC.
NPI 1679269138
Nurse Practitioner - Primary Care in Canal Winchester, OH
About Superior Urgent Care, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPERIOR URGENT CARE, LLC. (NPI 1679269138) is a healthcare organization registered as a primary care in Canal Winchester, Ohio and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Stan Bulanov, Cnp, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Superior Urgent Care, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Superior Urgent Care, LLC., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 36D2163653
Superior Urgent Care, LLC · Canal Winchester, OHFrequently 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 Superior Urgent Care, LLC.'s NPI number?
The NPI number for Superior Urgent Care, LLC. is 1679269138. It was assigned to this organization in the NPPES registry on April 17, 2023.
Where is Superior Urgent Care, LLC. located?
Superior Urgent Care, LLC. is located at 3620 Gender Rd, Canal Winchester, OH 43110. The listed phone number is (614) 829-3015.
What is Superior Urgent Care, LLC.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Superior Urgent Care, LLC. enrolled in Medicare?
Yes. Superior Urgent Care, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Superior Urgent Care, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Superior Urgent 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Superior Urgent Care, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2163653) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Superior Urgent Care, LLC. was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Superior Urgent Care, Llc. · NPI 1679269138
Primary Care organization in Canal Winchester, Ohio. Organization record, active in the CMS NPPES registry since April 17, 2023.
## Identity
- **NPI:** 1679269138 (Entity type: Organization)
- **Enumerated:** April 17, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Stan Bulanov, CNP, CO-OWNER
## Practice location
- **Address:** 3620 GENDER RD, Canal Winchester, OH 43110-8679
- **Phone:** (614) 829-3015 · **Fax:** (833) 670-1836
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1679269138) · Data from the CMS NPPES public registry.