MAIN STREET CLINIC LLC
NPI 1841007739
Nurse Practitioner - Family in Elkhart, KS

Active since December 13, 2024CLIA 17D2327446 · Waiver
450 MORTON STREET, ELKHART, KS 67950(620) 518-3139 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Dec 13, 2024 (2 updates tracked since 2024).

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

NPI1841007739
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAIN STREET CLINIC LLC
Location Address450 MORTON STREETElkhart, KS 67950
Mailing AddressPo Box 986Elkhart, KS 67950-0986 · (620) 518-3139
Organization SubpartNo
Authorized OfficialHeidy BrillhartOwner · (806) 236-6840
Enumeration DateDecember 13, 2024
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
NPI 1841007739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
450 MORTON STREET, Elkhart, KS 67950

Other Names 1

Doing Business AsMain Street Clinic

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

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, KS
Active · expires Jul 21, 2027
CLIA Number17D2327446
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorHeidy Brillhart
Laboratory Phone(620) 518-3139
Laboratory LocationMain Street Clinic450 Morton Street, Elkhart, KS 67950
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
450 MORTON STREET
ELKHART, KS 67950

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 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.

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 with the weekly NPPES data releases published by CMS.