FAMILY SURGERY CENTER, LLC
NPI 1831200120
Clinic/Center - Ambulatory Surgical in Willmar, MN
About Family Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY SURGERY CENTER, LLC (NPI 1831200120) is a healthcare organization registered as an ambulatory surgical in Willmar, Minnesota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Carmen Macik, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Family Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 24D1043000
Family Surgery Center LLC · Willmar, MNAreas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Family Surgery Center, LLC's NPI number?
The NPI number for Family Surgery Center, LLC is 1831200120. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Family Surgery Center, LLC located?
Family Surgery Center, LLC is located at 1801 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-7700.
What is Family Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Family Surgery Center, LLC enrolled in Medicare?
Yes. Family Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Surgery Center, 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (6) and Otolaryngology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1043000) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Surgery Center, LLC accept?
Health plans from Sanford Health Plan list Family Surgery Center, 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 Family Surgery Center, LLC was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Family Surgery Center, Llc · NPI 1831200120
Ambulatory Surgical organization in Willmar, Minnesota. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1831200120 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Carmen Macik, ADMINISTRATOR
## Practice location
- **Address:** 1801 19TH AVE SW, Willmar, MN 56201-4946
- **Phone:** (320) 235-7700 · **Fax:** (320) 235-7701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (6), Otolaryngology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2012
- **Other identifiers:** Medicaid 315455600 (MN); Medicare PIN C04245 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831200120) · Data from the CMS NPPES public registry.