RINEYVILLE FAMILY MEDICAL CLINIC LLC
NPI 1922576768
Clinic/Center - Primary Care in Vine Grove, KY
About Rineyville Family Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RINEYVILLE FAMILY MEDICAL CLINIC LLC (NPI 1922576768) is a healthcare organization registered as a primary care in Vine Grove, Kentucky and active in the NPI registry since November 2018. The organization lists Jessi Lloyd, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rineyville Family Medical 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 Rineyville Family Medical 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.
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 Rineyville Family Medical Clinic LLC's NPI number?
The NPI number for Rineyville Family Medical Clinic LLC is 1922576768. It was assigned to this organization in the NPPES registry on November 9, 2018.
Where is Rineyville Family Medical Clinic LLC located?
Rineyville Family Medical Clinic LLC is located at 423 Crume Rd, Vine Grove, KY 40175. The listed phone number is (270) 900-1236.
What is Rineyville Family Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Rineyville Family Medical Clinic LLC enrolled in Medicare?
Yes. Rineyville Family Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rineyville Family Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rineyville Family Medical 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.
When was this NPI record last updated?
The NPPES record for Rineyville Family Medical Clinic LLC was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Rineyville Family Medical Clinic Llc · NPI 1922576768
Primary Care organization in Vine Grove, Kentucky. Organization record, active in the CMS NPPES registry since November 9, 2018.
## Identity
- **NPI:** 1922576768 (Entity type: Organization)
- **Enumerated:** November 9, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jessi Lloyd, OWNER
## Practice location
- **Address:** 423 CRUME RD, Vine Grove, KY 40175-1130
- **Phone:** (270) 900-1236
## 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:** April 3, 2020
- **Other identifiers:** Medicaid 7100476030 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1922576768) · Data from the CMS NPPES public registry.