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FAMILY CLINIC
NPI 1871629832
Family Medicine in Casper, WY

Active since February 26, 2007CLIA 53D0879634 · Waiver
1315 E A ST, CASPER, WY 82601(307) 235-8552(307) 235-4656 Get Directions Write a Review

NPPES record last updated: November 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Clinic NPPES

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

FAMILY CLINIC (NPI 1871629832) is a healthcare organization registered as a family medicine in Casper, Wyoming and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Dana R Ideen, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1871629832
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CLINIC
Location Address1315 E A STCasper, WY 82601-2212
Mailing Address1315 E A StCasper, WY 82601-2212 · (307) 235-8552 · Fax (307) 235-4656
Phone(307) 235-8552
Fax(307) 235-4656
Organization SubpartNo
Authorized OfficialDana R IdeenManaging Member · (307) 235-8552
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 11, 2010
✔ NPI 1871629832 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.
1315 E A ST, Casper, WY 82601
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Other Identifiers 2

Medicaid102746800WY
Medicare ID-Type Unspecified307211WY · Provider Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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)

Family Clinic 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 Family Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dana Ideen, M.D.
Family Practice
NPI 1558375477
1315 E A ST
Casper, WY 82601
(307) 235-8552
✔ PECOS✔ Accepts Medicare0.6 mi

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 53D0879634

Family Clinic,the · Casper, WY
Active · expires Nov 29, 2027
CLIA Number53D0879634
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDana R. Ideen
Laboratory Phone(307) 235-8552
Laboratory LocationFamily Clinic,the1315 East A Street, Casper, WY 82601
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 Family Clinic's NPI number?

The NPI number for Family Clinic is 1871629832. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Family Clinic located?

Family Clinic is located at 1315 E A St, Casper, WY 82601. The listed phone number is (307) 235-8552.

What is Family Clinic's specialty?

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

Is Family Clinic enrolled in Medicare?

Yes. Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Clinic. 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 Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0879634) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Clinic accept?

Health plans from Blue Cross Blue Shield of Wyoming list Family Clinic 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 Family Clinic was last updated on November 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.