ENDOMED FAMILY CLINIC LLC
NPI 1891456281
Nurse Practitioner - Family in Lynnwood, WA
About Endomed Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENDOMED FAMILY CLINIC LLC (NPI 1891456281) is a healthcare organization registered as a family in Lynnwood, Washington and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Mountlake Terrace, and lists Natalya Kumar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Endomed Family Clinic 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 Endomed Family Clinic 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.
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 50D2258651
Endomed Family Clinic · Lynnwood, WAFrequently 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 Endomed Family Clinic LLC's NPI number?
The NPI number for Endomed Family Clinic LLC is 1891456281. It was assigned to this organization in the NPPES registry on January 7, 2022.
Where is Endomed Family Clinic LLC located?
Endomed Family Clinic LLC is located at 5017 196th St SW Ste 204, Lynnwood, WA 98036. The listed phone number is (206) 424-2911.
What is Endomed Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Endomed Family Clinic LLC enrolled in Medicare?
Yes. Endomed Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Endomed Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Endomed 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Endomed Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2258651) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Endomed Family Clinic LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Endomed 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 Endomed Family Clinic LLC was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Endomed Family Clinic Llc · NPI 1891456281
Family organization in Lynnwood, Washington. Organization record, active in the CMS NPPES registry since January 7, 2022.
## Identity
- **NPI:** 1891456281 (Entity type: Organization)
- **Enumerated:** January 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Natalya Kumar, OWNER
## Practice location
- **Address:** 5017 196TH ST SW STE 204, Lynnwood, WA 98036-6123
- **Phone:** (206) 424-2911 · **Fax:** (206) 656-9329
## 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:** February 9, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891456281) · Data from the CMS NPPES public registry.