COSTNER CARE FAMILY CLINIC, LLC
NPI 1689264558
Nurse Practitioner - Family in Plains, MT
About Costner Care Family Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COSTNER CARE FAMILY CLINIC, LLC (NPI 1689264558) is a healthcare organization registered as a family in Plains, Montana and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists David Simeon Costner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Costner Care Family Clinic, 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 Costner Care Family Clinic, 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.
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 27D2225105
Costner Care Family Clinic · Plains, MTFrequently 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 Costner Care Family Clinic, LLC's NPI number?
The NPI number for Costner Care Family Clinic, LLC is 1689264558. It was assigned to this organization in the NPPES registry on January 24, 2021.
Where is Costner Care Family Clinic, LLC located?
Costner Care Family Clinic, LLC is located at 406 W Railroad Ave, Plains, MT 59859. The listed phone number is (406) 223-7966.
What is Costner Care Family Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Costner Care Family Clinic, LLC enrolled in Medicare?
Yes. Costner Care Family Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Costner Care Family Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Costner Care Family Clinic, 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.
Does Costner Care Family Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 27D2225105) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Costner Care Family Clinic, LLC accept?
Health plans from Blue Cross and Blue Shield of Montana list Costner Care Family Clinic, 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 Costner Care Family Clinic, LLC was last updated on January 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Costner Care Family Clinic, Llc · NPI 1689264558
Family organization in Plains, Montana. Organization record, active in the CMS NPPES registry since January 24, 2021.
## Identity
- **NPI:** 1689264558 (Entity type: Organization)
- **Enumerated:** January 24, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** David Costner, OWNER
## Practice location
- **Address:** 406 W RAILROAD AVE, Plains, MT 59859-9597
- **Phone:** (406) 223-7966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689264558) · Data from the CMS NPPES public registry.