LECROY FAMILY MEDICINE PA
NPI 1851599690
Clinic/Center - Primary Care in Colleyville, TX
About Lecroy Family Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LECROY FAMILY MEDICINE PA (NPI 1851599690), doing business as Lighthouse Family Medicine, is a healthcare organization registered as a primary care in Colleyville, Texas and active in the NPI registry since July 2007. The organization lists Kenneth Douglas Lecroy, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lecroy Family Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lecroy Family Medicine PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 45D0979488
Lecroy Family Medicine PA · Colleyville, TXFrequently 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 Lecroy Family Medicine PA's NPI number?
The NPI number for Lecroy Family Medicine PA is 1851599690. It was assigned to this organization in the NPPES registry on July 3, 2007. The provider is doing business as Lighthouse Family Medicine.
Where is Lecroy Family Medicine PA located?
Lecroy Family Medicine PA is located at 6424 Colleyville Blvd Ste 104, Colleyville, TX 76034. The listed phone number is (817) 482-9422.
What is Lecroy Family Medicine PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lecroy Family Medicine PA enrolled in Medicare?
Yes. Lecroy Family Medicine PA is registered in the Medicare PECOS enrollment system.
When is Lecroy Family Medicine PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lecroy Family Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lecroy Family Medicine PA. 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.
When was this NPI record last updated?
The NPPES record for Lecroy Family Medicine PA was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Lecroy Family Medicine Pa · NPI 1851599690
Primary Care organization in Colleyville, Texas. Organization record, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1851599690 (Entity type: Organization)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Lighthouse Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kenneth Lecroy, OWNER
## Practice location
- **Address:** 6424 COLLEYVILLE BLVD STE 104, Colleyville, TX 76034-6470
- **Phone:** (817) 482-9422 · **Fax:** (877) 738-7691
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851599690) · Data from the CMS NPPES public registry.