FAMILY SURGERY CENTER, LLC
NPI 1831200120
Clinic/Center - Ambulatory Surgical in Willmar, MN

Active since August 31, 2006CLIA 24D1043000 · Waiver
1801 19TH AVE SW, WILLMAR, MN 56201(320) 235-7700(320) 235-7701 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1831200120
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAMILY SURGERY CENTER, LLC
Location Address1801 19TH AVE SWWillmar, MN 56201-4946
Mailing Address1801 19th Ave SwWillmar, MN 56201-4946 · (320) 235-7700 · Fax (320) 235-7701
Fax(320) 235-7701
Organization SubpartNo
Authorized OfficialCarmen MacikAdministrator · (320) 214-5759
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 11, 2012
NPI 1831200120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MN · 330845
1801 19TH AVE SW, Willmar, MN 56201

Other Identifiers 2

Medicaid315455600MN
Medicare PINC04245MN

Accepted Insurance

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, MN
Active · expires Jul 12, 2027
CLIA Number24D1043000
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorJeffrey L. Fischer
Laboratory Phone(320) 235-7700
Laboratory LocationFamily Surgery Center LLC1801 19th Avenue SW, Willmar, MN 56201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
1,320 services188 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
796 services114 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
324 services184 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
149 services103 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
32 services18 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
24 services12 patients

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Otolaryngology
1801 19TH AVE SW
WILLMAR, MN 56201
Optometrist (Corneal and Contact Management)
1801 19TH AVE SW
WILLMAR, MN 56201
Optometrist (Corneal and Contact Management)
1801 19TH AVE SW
WILLMAR, MN 56201
Audiologist
1801 19TH AVE SW
WILLMAR, MN 56201
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Ophthalmology
1801 19TH AVE SW
WILLMAR, MN 56201

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.

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.