BAMBOO FAMILY CLINIC LLC
NPI 1881196012
Pediatrics in Henderson, NV
About Bamboo Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAMBOO FAMILY CLINIC LLC (NPI 1881196012) is a healthcare organization registered as a pediatrics in Henderson, Nevada and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Shirley Holdeman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
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)
Bamboo Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Bamboo Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 29D2174652
Bamboo Family Clinic LLC · Henderson, NVFrequently 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 Bamboo Family Clinic LLC's NPI number?
The NPI number for Bamboo Family Clinic LLC is 1881196012. It was assigned to this organization in the NPPES registry on March 3, 2018.
Where is Bamboo Family Clinic LLC located?
Bamboo Family Clinic LLC is located at 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015. The listed phone number is (702) 433-3038.
What is Bamboo Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Bamboo Family Clinic LLC enrolled in Medicare?
Yes. Bamboo Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bamboo Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bamboo Family Clinic 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. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bamboo Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2174652) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bamboo Family Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Bamboo Family 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 Bamboo Family Clinic LLC was last updated on March 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Bamboo Family Clinic Llc · NPI 1881196012
Pediatrics organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since March 3, 2018.
## Identity
- **NPI:** 1881196012 (Entity type: Organization)
- **Enumerated:** March 3, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Shirley Holdeman, OWNER
## Practice location
- **Address:** 98 E LAKE MEAD PKWY STE 307, Henderson, NV 89015-6444
- **Phone:** (702) 433-3038 · **Fax:** (702) 949-1975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881196012) · Data from the CMS NPPES public registry.