MAIN STREET CLINIC LLC
NPI 1841007739
Nurse Practitioner - Family in Elkhart, KS
About Main Street Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET CLINIC LLC (NPI 1841007739), doing business as Main Street Clinic, is a healthcare organization registered as a family in Elkhart, Kansas and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Heidy Brillhart, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Main Street Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Main Street Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 17D2327446
Main Street Clinic · Elkhart, 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 Main Street Clinic LLC's NPI number?
The NPI number for Main Street Clinic LLC is 1841007739. It was assigned to this organization in the NPPES registry on December 13, 2024. The provider is doing business as Main Street Clinic.
Where is Main Street Clinic LLC located?
Main Street Clinic LLC is located at 450 Morton Street, Elkhart, KS 67950. The listed phone number is (620) 518-3139.
What is Main Street Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Main Street Clinic LLC enrolled in Medicare?
Yes. Main Street Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Main Street 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Main Street Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2327446) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Main Street Clinic LLC accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Main Street 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 Main Street Clinic LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Main Street Clinic Llc · NPI 1841007739
Family organization in Elkhart, Kansas. Organization record, active in the CMS NPPES registry since December 13, 2024.
## Identity
- **NPI:** 1841007739 (Entity type: Organization)
- **Enumerated:** December 13, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Main Street Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Heidy Brillhart, OWNER
## Practice location
- **Address:** 450 MORTON STREET, Elkhart, KS 67950
- **Phone:** (620) 518-3139
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841007739) · Data from the CMS NPPES public registry.