PRIME CARE PROVIDERS LLC
NPI 1992353619
Family Medicine in Johnstown, PA
About Prime Care Providers Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME CARE PROVIDERS LLC (NPI 1992353619) is a healthcare organization registered as a family medicine in Johnstown, Pennsylvania and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 19, 2027, maintains 2 additional practice locations, and lists George Frem, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 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)
Prime Care Providers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Prime Care Providers LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
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 39D2290045
Prime Care Providers · Johnstown, 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 Prime Care Providers LLC's NPI number?
The NPI number for Prime Care Providers LLC is 1992353619. It was assigned to this organization in the NPPES registry on August 27, 2019.
Where is Prime Care Providers LLC located?
Prime Care Providers LLC is located at 1013 Menoher Blvd, Johnstown, PA 15905. The listed phone number is (814) 254-4885.
What is Prime Care Providers LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Prime Care Providers LLC enrolled in Medicare?
Yes. Prime Care Providers LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Care Providers LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Prime Care Providers 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 (5), Family Practice (2) and General Practice (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prime Care Providers LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2290045) is associated with this NPI, valid through September 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 Prime Care Providers LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Prime Care Providers Llc · NPI 1992353619
Family Medicine organization in Johnstown, Pennsylvania. Organization record, active in the CMS NPPES registry since August 27, 2019.
## Identity
- **NPI:** 1992353619 (Entity type: Organization)
- **Enumerated:** August 27, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** George Frem, CEO
## Practice location
- **Address:** 1013 MENOHER BLVD, Johnstown, PA 15905-2544
- **Phone:** (814) 254-4885
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2), General Practice (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1992353619) · Data from the CMS NPPES public registry.