WESTERN ROOTS MEDICAL CLINIC LLC
NPI 1770345910
Family Medicine in Grainfield, KS
About Western Roots Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN ROOTS MEDICAL CLINIC LLC (NPI 1770345910) is a healthcare organization registered as a family medicine in Grainfield, Kansas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Brooke Rachelle Briggs, Sole Member, 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)
Western Roots Medical 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 Western Roots Medical 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 17D2298670
Western Roots Medical Clinic, LLC · Grainfield, KSFrequently 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 Western Roots Medical Clinic LLC's NPI number?
The NPI number for Western Roots Medical Clinic LLC is 1770345910. It was assigned to this organization in the NPPES registry on January 24, 2024.
Where is Western Roots Medical Clinic LLC located?
Western Roots Medical Clinic LLC is located at 123 E 2nd St, Grainfield, KS 67737. The listed phone number is (405) 301-2708.
What is Western Roots Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Western Roots Medical Clinic LLC enrolled in Medicare?
Yes. Western Roots Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Western Roots Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Western Roots Medical 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 Western Roots Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2298670) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Western Roots Medical Clinic LLC accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Western Roots 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 Western Roots Medical Clinic LLC was last updated on September 6, 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.
# Western Roots Medical Clinic Llc · NPI 1770345910
Family Medicine organization in Grainfield, Kansas. Organization record, active in the CMS NPPES registry since January 24, 2024.
## Identity
- **NPI:** 1770345910 (Entity type: Organization)
- **Enumerated:** January 24, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brooke Briggs, SOLE MEMBER
## Practice location
- **Address:** 123 E 2ND ST, Grainfield, KS 67737-3505
- **Phone:** (405) 301-2708
## 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:** September 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770345910) · Data from the CMS NPPES public registry.