FUNCTIONAL MEDICINE PARTNERS LLC
NPI 1861374027
Nurse Practitioner - Adult Health in Syracuse, IN
About Functional Medicine Partners Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUNCTIONAL MEDICINE PARTNERS LLC (NPI 1861374027) is a healthcare organization registered as an adult health in Syracuse, Indiana and active in the NPI registry since July 2025. The organization lists Carol White, Np/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Functional Medicine Partners 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 Functional Medicine Partners LLC, 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.
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 Functional Medicine Partners LLC's NPI number?
The NPI number for Functional Medicine Partners LLC is 1861374027. It was assigned to this organization in the NPPES registry on July 21, 2025.
Where is Functional Medicine Partners LLC located?
Functional Medicine Partners LLC is located at 602 S Huntington St, Syracuse, IN 46567. The listed phone number is (574) 527-0141.
What is Functional Medicine Partners LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Functional Medicine Partners LLC enrolled in Medicare?
Yes. Functional Medicine Partners LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Functional Medicine Partners LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Functional Medicine Partners 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.
When was this NPI record last updated?
The NPPES record for Functional Medicine Partners LLC was last updated on August 11, 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.
# Functional Medicine Partners Llc · NPI 1861374027
Adult Health organization in Syracuse, Indiana. Organization record, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1861374027 (Entity type: Organization)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Carol White, NP/OWNER
## Practice location
- **Address:** 602 S HUNTINGTON ST, Syracuse, IN 46567-1807
- **Phone:** (574) 527-0141 · **Fax:** (574) 821-7026
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861374027) · Data from the CMS NPPES public registry.