MISFITS MEDICINE LLC
NPI 1740146612
Clinic/Center - Primary Care in Centerville, IN

Active since January 05, 2026
4282 LAMOTT RD, CENTERVILLE, IN 47330(765) 277-3951 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Misfits Medicine Llc NPPES

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

MISFITS MEDICINE LLC (NPI 1740146612) is a healthcare organization registered as a primary care in Centerville, Indiana and active in the NPI registry since January 2026. The organization lists Samantha Theresa Suttles, Np, as its authorized official.

NPPES Registry Identity

NPI1740146612
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMISFITS MEDICINE LLC
Location Address4282 LAMOTT RDCenterville, IN 47330-9647
Mailing Address4282 Lamott RdCenterville, IN 47330-9647 · (765) 277-3951
Organization SubpartNo
Authorized OfficialSamantha Theresa SuttlesNp · (765) 277-3951
Enumeration DateJanuary 5, 2026
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1740146612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4282 LAMOTT RD, Centerville, IN 47330

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misfits Medicine 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 Misfits Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1205674058
4282 LAMOTT RD
Centerville, IN 47330
(765) 277-3951
✔ PECOS✔ Accepts MedicareSame address

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 Misfits Medicine LLC's NPI number?

The NPI number for Misfits Medicine LLC is 1740146612. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Misfits Medicine LLC located?

Misfits Medicine LLC is located at 4282 Lamott Rd, Centerville, IN 47330. The listed phone number is (765) 277-3951.

What is Misfits Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Misfits Medicine LLC enrolled in Medicare?

Yes. Misfits Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Misfits Medicine LLC?

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

When was this NPI record last updated?

The NPPES record for Misfits Medicine LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.