LIZTON FAMILY MEDICINE
NPI 1710084025
Family Medicine in Lizton, IN
About Lizton Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIZTON FAMILY MEDICINE (NPI 1710084025) is a healthcare organization registered as a family medicine in Lizton, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Heather Rutherford, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lizton Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
400Medicare enrollment records show 400 clinicians reassign Medicare billing to Lizton Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 154 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 400Source: 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 15D1058657
Lizton Family Medicine · Lizton, INFrequently 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 Hendricks County Hospital's NPI number?
The NPI number for Hendricks County Hospital is 1710084025. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Lizton Family Medicine.
Where is Hendricks County Hospital located?
Hendricks County Hospital is located at 1045 Wyatt Way, Lizton, IN 46149. The listed phone number is (317) 994-6600.
What is Hendricks County Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hendricks County Hospital enrolled in Medicare?
Yes. Hendricks County Hospital is registered in the Medicare PECOS enrollment system.
When is Hendricks County Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hendricks County Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 400 clinicians in 36 Medicare specialties reassign their Medicare billing to Hendricks County Hospital. 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 (95), Family Practice (39) and Certified Registered Nurse Anesthetist (CRNA) (37). Of these, 2 practice at this address and 154 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hendricks County Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D1058657) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hendricks County Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Hendricks County Hospital 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 Hendricks County Hospital was last updated on May 28, 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.
# Lizton Family Medicine · NPI 1710084025
Family Medicine organization in Lizton, Indiana. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1710084025 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Hendricks County Hospital
- **Organization subpart:** No
- **Authorized official:** Heather Rutherford, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1045 WYATT WAY, Lizton, IN 46149
- **Phone:** (317) 994-6600 · **Fax:** (317) 994-6605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 400 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (95), Family Practice (39), Certified Registered Nurse Anesthetist (CRNA) (37); 2 practice at this address and 154 within 10 miles; [full list](https://npiprofile.com/npi/1710084025/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710084025) · Data from the CMS NPPES public registry.