EXCELA SQUARE AT LATROBE PRIMARY CARE
NPI 1942713409
Family Medicine in Latrobe, PA
About Excela Square At Latrobe Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXCELA SQUARE AT LATROBE PRIMARY CARE (NPI 1942713409) is a healthcare organization registered as a family medicine in Latrobe, Pennsylvania and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Renee M Varney, Lead Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Excela Square At Latrobe Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
668Medicare enrollment records show 668 clinicians reassign Medicare billing to Excela Square At Latrobe Primary Care, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 253 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 43
Nearest to this location (20)
See all 668Latrobe, PA 15650
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 39D2142571
Excela Square At Latrobe · Latrobe, PAFrequently 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 Excela Health Physician Practices, Inc's NPI number?
The NPI number for Excela Health Physician Practices, Inc is 1942713409. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as Excela Square At Latrobe Primary Care.
Where is Excela Health Physician Practices, Inc located?
Excela Health Physician Practices, Inc is located at 100 Excela Health Drive, Latrobe, PA 15650. The listed phone number is (724) 804-1725.
What is Excela Health Physician Practices, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Excela Health Physician Practices, Inc enrolled in Medicare?
Yes. Excela Health Physician Practices, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Excela Health Physician Practices, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 668 clinicians in 43 Medicare specialties reassign their Medicare billing to Excela Health Physician Practices, Inc. 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 (124), Family Practice (94) and Certified Registered Nurse Anesthetist (CRNA) (79). Of these, 22 practice at this address and 253 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Excela Health Physician Practices, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2142571) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Excela Health Physician Practices, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Excela Health Physician Practices, Inc 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 Excela Health Physician Practices, Inc was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Excela Square At Latrobe Primary Care · NPI 1942713409
Family Medicine organization in Latrobe, Pennsylvania. Organization record, active in the CMS NPPES registry since November 7, 2017.
## Identity
- **NPI:** 1942713409 (Entity type: Organization)
- **Enumerated:** November 7, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Excela Health Physician Practices, Inc
- **Organization subpart:** Yes (part of Excela Health Holding Company)
- **Authorized official:** Renee Varney, LEAD CREDENTIALING COORDINATOR
## Practice location
- **Address:** 100 EXCELA HEALTH DRIVE, Latrobe, PA 15650
- **Phone:** (724) 804-1725 · **Fax:** (724) 804-1727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 668 clinicians in 43 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (124), Family Practice (94), Certified Registered Nurse Anesthetist (CRNA) (79); 22 practice at this address and 253 within 10 miles; [full list](https://npiprofile.com/npi/1942713409/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2019
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1942713409) · Data from the CMS NPPES public registry.