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INDEPENDENCE HEALTHCARE LLC
NPI 1699556746
Clinic/Center in Buckeye Lake, OH

Active since October 12, 2023
4595 WALNUT RD STE L, BUCKEYE LAKE, OH 43008(740) 822-0080(740) 822-0081 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2024, Oct 12, 2023 (2 updates tracked since 2023).

About Independence Healthcare Llc NPPES

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

INDEPENDENCE HEALTHCARE LLC (NPI 1699556746) is a healthcare organization registered as a clinic/center in Buckeye Lake, Ohio and active in the NPI registry since October 2023. The organization lists Khadie Muriel Thomas, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1699556746
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINDEPENDENCE HEALTHCARE LLC
Location Address4595 WALNUT RD STE LBuckeye Lake, OH 43008-7909
Mailing Address4595 Walnut Rd Ste LBuckeye Lake, OH 43008-7909 · (740) 822-0080 · Fax (740) 822-0081
Phone(740) 822-0080
Fax(740) 822-0081
Organization SubpartNo
Authorized OfficialKhadie Muriel ThomasNurse Practitioner · (614) 893-6800
Enumeration DateOctober 12, 2023
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1699556746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4595 WALNUT RD STE L, Buckeye Lake, OH 43008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Independence Healthcare 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 Independence Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khadie Thomas, CNP
Nurse Practitioner
NPI 1831679612
1649 BRICE RD STE C
Reynoldsburg, OH 43068
(740) 300-1878
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Independence Healthcare LLC's NPI number?

The NPI number for Independence Healthcare LLC is 1699556746. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Independence Healthcare LLC located?

Independence Healthcare LLC is located at 4595 Walnut Rd Ste L, Buckeye Lake, OH 43008. The listed phone number is (740) 822-0080.

What is Independence Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Independence Healthcare LLC enrolled in Medicare?

Yes. Independence Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Independence Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Independence Healthcare 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.

What insurance does Independence Healthcare LLC accept?

Health plans from Molina Healthcare list Independence Healthcare 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 Independence Healthcare LLC was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.