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WESTGATE MEDICAL, LLC
NPI 1679971550
Nurse Practitioner - Family in Bloomfield, IN

Active since December 09, 2014CLIA 15D2094051 · Waiver
10858 E STATE ROAD 54, SUITE #1, BLOOMFIELD, IN 47424(812) 400-0067(812) 400-0017 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westgate Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTGATE MEDICAL, LLC (NPI 1679971550) is a healthcare organization registered as a family in Bloomfield, Indiana and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Kathi R Robinson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1679971550
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWESTGATE MEDICAL, LLC
Location Address10858 E STATE ROAD 54, SUITE #1Bloomfield, IN 47424-6069
Mailing Address10858 E State Road 54, Suite #1Bloomfield, IN 47424-6069 · (812) 400-0067 · Fax (812) 400-0017
Phone(812) 400-0067
Fax(812) 400-0017
Organization SubpartNo
Authorized OfficialKathi R RobinsonPractice Manager · (812) 400-0067
Enumeration DateDecember 9, 2014
Last NPPES UpdateFebruary 1, 2017
✔ NPI 1679971550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71002130A
10858 E STATE ROAD 54, Bloomfield, IN 47424
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ78851IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 15D2094051

Westgate Medical, LLC · Bloomfield, IN
Active · expires Apr 8, 2027
CLIA Number15D2094051
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorJody L. Root
Laboratory Phone(812) 381-4252
Laboratory LocationWestgate Medical, LLC10858 E Sr 54, Ste 1, Bloomfield, IN 47424
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAN PAAUWE WEUST
Nurse Practitioner (Psychiatric/Mental Health)
10858 E STATE ROAD 54
BLOOMFIELD, IN 47424
Greene County (812) 400-0067
MRS. JODY LYNN ROOT FNP-BC
Nurse Practitioner (Family)
10858 E STATE ROAD 54, SUITE #1
BLOOMFIELD, IN 47424
Greene County (812) 400-0067

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 Westgate Medical, LLC's NPI number?

The NPI number for Westgate Medical, LLC is 1679971550. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Westgate Medical, LLC located?

Westgate Medical, LLC is located at 10858 E State Road 54 Suite #1, Bloomfield, IN 47424. The listed phone number is (812) 400-0067.

What is Westgate Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Westgate Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2094051) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Westgate Medical, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Westgate Medical, LLC 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 Westgate Medical, LLC was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.