NORTH CENTRAL INDIANA MEDICAL CLINIC LLC
NPI 1730713017
Obstetrics & Gynecology - Gynecology in Milford, IN
About North Central Indiana Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH CENTRAL INDIANA MEDICAL CLINIC LLC (NPI 1730713017) is a healthcare organization registered as a gynecology in Milford, Indiana and active in the NPI registry since February 2020. The organization holds 2 active CLIA laboratory certificates and lists Michelle Wilson, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
North Central Indiana Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to North Central Indiana Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 2
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 15D2180277
North Central Indiana Medical Clinic · Milford, INCertificate of Waiver 15D2275822
North Central Indiana Medical Clinic LLC · Topeka, 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 North Central Indiana Medical Clinic LLC's NPI number?
The NPI number for North Central Indiana Medical Clinic LLC is 1730713017. It was assigned to this organization in the NPPES registry on February 26, 2020.
Where is North Central Indiana Medical Clinic LLC located?
North Central Indiana Medical Clinic LLC is located at 112 S Main St, Milford, IN 46542. The listed phone number is (574) 832-6246.
What is North Central Indiana Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is North Central Indiana Medical Clinic LLC enrolled in Medicare?
Yes. North Central Indiana Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Central Indiana Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to North Central Indiana Medical Clinic LLC, in Family Practice, Nurse Practitioner and Obstetrics/Gynecology. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Central Indiana Medical Clinic LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does North Central Indiana Medical Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list North Central Indiana Medical 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 North Central Indiana Medical Clinic LLC was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# North Central Indiana Medical Clinic Llc · NPI 1730713017
Gynecology organization in Milford, Indiana. Organization record, active in the CMS NPPES registry since February 26, 2020.
## Identity
- **NPI:** 1730713017 (Entity type: Organization)
- **Enumerated:** February 26, 2020
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **Organization subpart:** No
- **Authorized official:** Michelle Wilson, PRACTICE MANAGER
## Practice location
- **Address:** 112 S MAIN ST, Milford, IN 46542-3006
- **Phone:** (574) 832-6246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1), Obstetrics/Gynecology (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2020
- **Other identifiers:** Other 1902-89-0718 (IN)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730713017) · Data from the CMS NPPES public registry.