TABLE ROCK FAMILY CARE CLINIC, LLC
NPI 1952934937
Clinic/Center - Rural Health in Branson, MO

Active since February 18, 2020CLIA 26D2137830 · Waiver
800 HIGHWAY 248 STE F, BRANSON, MO 65616(417) 324-7672 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 23, 2021, Mar 27, 2020, Feb 18, 2020 (3 updates tracked since 2020).

About Table Rock Family Care Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABLE ROCK FAMILY CARE CLINIC, LLC (NPI 1952934937), doing business as Table Rock Family Care Clinic, is a healthcare organization registered as a rural health in Branson, Missouri and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Charles S Rasmussen, Physician, as its authorized official.

NPPES Registry Identity

NPI1952934937
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTABLE ROCK FAMILY CARE CLINIC, LLC
Location Address800 HIGHWAY 248 STE FBranson, MO 65616-4078
Mailing Address800 Highway 248 Ste FBranson, MO 65616-4078 · (417) 324-7672
Organization SubpartNo
Authorized OfficialCharles S RasmussenPhysician · (417) 459-1323
Enumeration DateFebruary 18, 2020
Last NPPES UpdateFebruary 23, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1952934937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
800 HIGHWAY 248 STE F, Branson, MO 65616

Other Names 1

Former Legal Business NameTable Rock Family Care Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Table Rock Family Care Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Table Rock Family Care Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1033740402
800 HIGHWAY 248 STE 2F
Branson, MO 65616
(417) 324-7672
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326592403
525 BRANSON LANDING BLVD STE 508
Branson, MO 65616
(417) 335-7000
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1932077237
3200 GRETNA RD UNIT 110
Branson, MO 65616
(417) 324-7672
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1598147597
18452 BUSINESS 13
Branson West, MO 65737
(417) 272-8911
✔ PECOS✔ Accepts Medicare8.2 mi
Family Practice
NPI 1891826269
310 E WALNUT ST
Garden City, KS 67846
(620) 275-9752
✔ PECOS✔ Accepts Medicare430 mi

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 26D2137830

Table Rock Family Care Clinic, LLC · Branson, MO
Active · expires Oct 3, 2027
CLIA Number26D2137830
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorCharles S. Rasmussen
Laboratory Phone(417) 324-7672
Laboratory LocationTable Rock Family Care Clinic, LLC800 State Hwy 248 Suite 2F, Branson, MO 65616
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Table Rock Family Care Clinic, LLC's NPI number?

The NPI number for Table Rock Family Care Clinic, LLC is 1952934937. It was assigned to this organization in the NPPES registry on February 18, 2020. The provider was formerly known as Table Rock Family Care Clinic.

Where is Table Rock Family Care Clinic, LLC located?

Table Rock Family Care Clinic, LLC is located at 800 Highway 248 Ste F, Branson, MO 65616. The listed phone number is (417) 324-7672.

What is Table Rock Family Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Table Rock Family Care Clinic, LLC enrolled in Medicare?

Yes. Table Rock Family Care Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Table Rock Family Care Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Table Rock Family Care 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Table Rock Family Care Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2137830) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Table Rock Family Care Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 2 other insurers list Table Rock Family Care 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 Table Rock Family Care Clinic, LLC was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.