FAMILY HEALTH CLINIC OF MONON
NPI 1871794826
Clinic/Center - Federally Qualified Health Center (FQHC) in Monon, IN

Active since May 29, 2007CLIA 15D1052581 · Waiver
692 E BROADWAY ST, MONON, IN 47959(877) 797-2404 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2024, Apr 18, 2022 (2 updates tracked since 2022).

About Family Health Clinic Of Monon NPPES

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

FAMILY HEALTH CLINIC OF MONON (NPI 1871794826) is a healthcare organization registered as a federally qualified health center (fqhc) in Monon, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 28, 2028, maintains 3 additional practice locations, and lists Daniel J Layman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871794826
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRUSTEES OF PURDUE UNIVERSITY
Location Address692 E BROADWAY STMonon, IN 47959-8191
Mailing AddressPo Box 597Delphi, IN 46923-0597 · (765) 564-3016 · Fax (765) 564-2608
Organization SubpartYesParent: Purdue University
Authorized OfficialDaniel J LaymanExecutive Director · (765) 564-3016
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1871794826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
692 E BROADWAY ST, Monon, IN 47959

Other Names 1

Doing Business AsFamily Health Clinic Of Monon

Secondary Practice Locations 3

Location 1420 N Market StMonon, IN 47959-9799 · Phone (219) 253-2404 · Fax (219) 253-2405
Location 2304 W Broadway StMonon, IN 47959-8164 · Phone (765) 564-3016
Location 3305 E Broadway StMonon, IN 47959-8137 · Phone (765) 564-3016

Other Identifiers 1

Medicaid200852780AIN

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)

Family Health Clinic Of Monon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Family Health Clinic Of Monon, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner25
Qualified Speech Language Pathologist7
Clinical Social Worker5
Qualified Audiologist5
Mental Health Counselor2
Family Practice1

Nearest to this location (20)

See all 45
Nurse Practitioner
NPI 1750109096
692 E BROADWAY ST
Monon, IN 47959
(800) 321-5043
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336624501
629 E BROADWAY ST
Monon, IN 46923
(877) 797-2404
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1306298393
692 E BROADWAY ST
Monon, IN 47959
(877) 797-2404
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1811554876
118 W DREXEL PKWY
Rensselaer, IN 47978
(219) 866-4300
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1215262969
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1265874382
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1063092526
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1568911360
901 PRINCE WILLIAM RD
Delphi, IN 46923
(765) 564-3016
✔ PECOS22 mi
Nurse Practitioner
NPI 1336753185
901 PRINCE WILLIAM RD
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Mental Health Counselor
NPI 1962253435
901 PRINCE WILLIAM RD
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1922872381
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1407120082
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1598926719
901 PRINCE WILLIAM RD
Delphi, IN 46923
(765) 564-3016
✔ PECOS✔ Accepts Medicare22 mi
Mental Health Counselor
NPI 1245183318
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS23 mi
Nurse Practitioner
NPI 1104476621
901 PRINCE WILLIAM RD STE A
Delphi, IN 46923
(765) 564-3016
✔ PECOS23 mi
Nurse Practitioner
NPI 1952884991
420 E MAIN ST
Brook, IN 47922
(219) 275-2521
✔ PECOS✔ Accepts Medicare25 mi
Qualified Speech Language Pathologist
NPI 1598165987
2600 GREENBUSH ST
Lafayette, IN 47904
(765) 448-8000
30 mi
Family Practice
NPI 1073594784
601 STADIUM MALL DR
West Lafayette, IN 47907
(765) 494-1700
✔ PECOS30 mi
Qualified Audiologist
NPI 1235231473
500 OVAL DRIVE 1353 HEAVILON HALL
West Lafayette, IN 49707
(765) 496-6570
✔ Accepts Medicare31 mi
Clinical Social Worker
NPI 1982977336
1530 S 18TH ST
Lafayette, IN 47905
(765) 418-6850
✔ PECOS32 mi
See all 45 clinicians

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 15D1052581

Family Health Clinic Of Monon · Monon, IN
Active · expires Mar 28, 2028
CLIA Number15D1052581
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorJennifer Coddington
Laboratory Phone(219) 253-2404
Laboratory LocationFamily Health Clinic Of Monon692 E Broadway Street, Monon, IN 47959
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 Trustees Of Purdue University's NPI number?

The NPI number for Trustees Of Purdue University is 1871794826. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Family Health Clinic Of Monon.

Where is Trustees Of Purdue University located?

Trustees Of Purdue University is located at 692 E Broadway St, Monon, IN 47959. The listed phone number is (877) 797-2404.

What is Trustees Of Purdue University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Trustees Of Purdue University enrolled in Medicare?

Yes. Trustees Of Purdue University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trustees Of Purdue University?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 6 Medicare specialties reassign their Medicare billing to Trustees Of Purdue University. 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. The largest specialties are Nurse Practitioner (25), Qualified Speech Language Pathologist (7) and Clinical Social Worker (5). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Trustees Of Purdue University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1052581) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trustees Of Purdue University accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Trustees Of Purdue University 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 Trustees Of Purdue University was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.