INDEPENDENCE FAMILY CLINIC LLC
NPI 1922876960
Clinic/Center - Rural Health in Independence, LA
About Independence Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDEPENDENCE FAMILY CLINIC LLC (NPI 1922876960) is a healthcare organization registered as a rural health in Independence, Louisiana and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Bryan Dale Tate, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Independence Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Independence Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 19D2298923
Independence Family Clinic LLC · Independence, LAFrequently 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 Independence Family Clinic LLC's NPI number?
The NPI number for Independence Family Clinic LLC is 1922876960. It was assigned to this organization in the NPPES registry on December 19, 2023.
Where is Independence Family Clinic LLC located?
Independence Family Clinic LLC is located at 312 E Railroad Ave, Independence, LA 70443. The listed phone number is (985) 878-4183.
What is Independence Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Independence Family Clinic LLC enrolled in Medicare?
Yes. Independence Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Independence Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Independence 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Independence Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2298923) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Independence Family Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Independence 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 Independence Family Clinic LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Independence Family Clinic Llc · NPI 1922876960
Rural Health organization in Independence, Louisiana. Organization record, active in the CMS NPPES registry since December 19, 2023.
## Identity
- **NPI:** 1922876960 (Entity type: Organization)
- **Enumerated:** December 19, 2023
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Independence Family Clinic LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Bryan Tate, MANAGER
## Practice location
- **Address:** 312 E RAILROAD AVE, Independence, LA 70443-2710
- **Phone:** (985) 878-4183
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1922876960) · Data from the CMS NPPES public registry.