MAIN STREET MEDICAL LLC
NPI 1831906908
Family Medicine in Oshkosh, NE

Active since December 12, 2024CLIA 28D2306472 · Waiver
215 MAIN ST, OSHKOSH, NE 69154(308) 772-0164 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2026, Dec 19, 2024, Dec 12, 2024 (3 updates tracked since 2024).

About Main Street Medical Llc NPPES

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

MAIN STREET MEDICAL LLC (NPI 1831906908) is a healthcare organization registered as a family medicine in Oshkosh, Nebraska and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Laurie Lea Soper, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1831906908
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET MEDICAL LLC
Location Address215 MAIN STOshkosh, NE 69154-6112
Mailing Address215 Main StOshkosh, NE 69154-6112 · (308) 772-0164
Organization SubpartNo
Authorized OfficialLaurie Lea SoperNurse Practitioner · (308) 220-8082
Enumeration DateDecember 12, 2024
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1831906908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
215 MAIN ST, Oshkosh, NE 69154

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Main Street Medical 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 Main Street Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1558622548
215 MAIN ST
Oshkosh, NE 69154
(308) 772-3283
✔ 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 28D2306472

Main Street Medical LLC · Oshkosh, NE
Active · expires Jun 17, 2028
CLIA Number28D2306472
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorLaurie L. Soper
Laboratory Phone(308) 772-0164
Laboratory LocationMain Street Medical LLC215 Main Street, Oshkosh, NE 69154
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 Main Street Medical LLC's NPI number?

The NPI number for Main Street Medical LLC is 1831906908. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Main Street Medical LLC located?

Main Street Medical LLC is located at 215 Main St, Oshkosh, NE 69154. The listed phone number is (308) 772-0164.

What is Main Street Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Main Street Medical LLC enrolled in Medicare?

Yes. Main Street Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Main Street Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Main Street Medical 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 Main Street Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2306472) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Main Street Medical LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Main Street Medical 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 Main Street Medical LLC was last updated on March 13, 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.