MILFORD FAMILY PRACTICE
NPI 1831779289
Clinic/Center - Health Service in Milford, KS

Active since April 10, 2021CLIA 17D2305550 · Waiver
103 SMITH ST, MILFORD, KS 66514(785) 463-3333 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Milford Family Practice NPPES

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

MILFORD FAMILY PRACTICE (NPI 1831779289) is a healthcare organization registered as a health service in Milford, Kansas and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Shana Christine Roether, Owner, as its authorized official.

NPPES Registry Identity

NPI1831779289
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMILFORD FAMILY PRACTICE
Location Address103 SMITH STMilford, KS 66514-5049
Mailing AddressPo Box 186Milford, KS 66514-0186 · (785) 463-3333 · Fax (785) 463-3343
Organization SubpartNo
Authorized OfficialShana Christine RoetherOwner · (785) 463-3333
Enumeration DateApril 10, 2021
NPPES CertifiedApril 10, 2021
✔ NPI 1831779289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
103 SMITH ST, Milford, KS 66514

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)

Milford Family Practice 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 Milford Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1912518481
103 SMITH ST
Milford, KS 66514
(785) 463-3333
✔ 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.

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 17D2305550

Milford Family Practice · Milford, KS
Active · expires Jun 2, 2028
CLIA Number17D2305550
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorShana C. Roether
Laboratory Phone(785) 463-3333
Laboratory LocationMilford Family Practice103 Smith Street, Milford, KS 66514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Milford Family Practice's NPI number?

The NPI number for Milford Family Practice is 1831779289. It was assigned to this organization in the NPPES registry on April 10, 2021.

Where is Milford Family Practice located?

Milford Family Practice is located at 103 Smith St, Milford, KS 66514. The listed phone number is (785) 463-3333.

What is Milford Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Milford Family Practice enrolled in Medicare?

Yes. Milford Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Milford Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Milford Family Practice. 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 Milford Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2305550) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Milford Family Practice accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Milford Family Practice 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 Milford Family Practice was last updated on April 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.