STOVER FAMILY CLINIC
NPI 1922467505
Clinic/Center - Health Service in Broken Bow, OK
About Stover Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STOVER FAMILY CLINIC (NPI 1922467505) is a healthcare organization registered as a health service in Broken Bow, Oklahoma and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Rebecca Renee Stover, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stover 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 Stover Family Clinic, 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 37D2105240
Stover Family Clinic · Broken Bow, OKFrequently 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 Stover Family Clinic's NPI number?
The NPI number for Stover Family Clinic is 1922467505. It was assigned to this organization in the NPPES registry on February 11, 2016.
Where is Stover Family Clinic located?
Stover Family Clinic is located at 813 Veterans Way, Broken Bow, OK 74728. The listed phone number is (580) 584-6600.
What is Stover Family Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Stover Family Clinic enrolled in Medicare?
Yes. Stover Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stover Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stover 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 Stover Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2105240) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Stover Family Clinic was last updated on February 11, 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.
# Stover Family Clinic · NPI 1922467505
Health Service organization in Broken Bow, Oklahoma. Organization record, active in the CMS NPPES registry since February 11, 2016.
## Identity
- **NPI:** 1922467505 (Entity type: Organization)
- **Enumerated:** February 11, 2016
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Rebecca Stover, OWNER
## Practice location
- **Address:** 813 VETERANS WAY, Broken Bow, OK 74728
- **Phone:** (580) 584-6600 · **Fax:** (580) 584-6603
## 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 11, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1922467505) · Data from the CMS NPPES public registry.