BEREA URGENT CARE LLC
NPI 1912054792
Nurse Practitioner in Berea, KY
About Berea Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEREA URGENT CARE LLC (NPI 1912054792) is a healthcare organization registered as a nurse practitioner in Berea, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Nawar Soda, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
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)
Berea Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
69Medicare enrollment records show 69 clinicians reassign Medicare billing to Berea Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 69Pikeville, KY 41501
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 18D1046850
Berea Urgent Care · Berea, KYFrequently 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 Berea Urgent Care LLC's NPI number?
The NPI number for Berea Urgent Care LLC is 1912054792. It was assigned to this organization in the NPPES registry on January 4, 2007.
Where is Berea Urgent Care LLC located?
Berea Urgent Care LLC is located at 234 Brenwood St, Berea, KY 40403. The listed phone number is (859) 985-0302.
What is Berea Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Berea Urgent Care LLC enrolled in Medicare?
Yes. Berea Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Berea Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 4 Medicare specialties reassign their Medicare billing to Berea Urgent Care 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. The largest specialties are Nurse Practitioner (65), Family Practice (2) and Emergency Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Berea Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1046850) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Berea Urgent Care LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Berea Urgent Care 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 Berea Urgent Care LLC was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Berea Urgent Care Llc · NPI 1912054792
Nurse Practitioner organization in Berea, Kentucky. Organization record, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1912054792 (Entity type: Organization)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Nawar Soda, PARTNER
## Practice location
- **Address:** 234 BRENWOOD ST, Berea, KY 40403-1637
- **Phone:** (859) 985-0302 · **Fax:** (859) 985-0308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 69 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (65), Family Practice (2), Emergency Medicine (1); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1912054792/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2016
- **Other identifiers:** Medicaid 65944373 (KY); Other 18D1046850 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912054792) · Data from the CMS NPPES public registry.