Ausink Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AUSINK FAMILY MEDICINE LLC

Practice address

105 W Orchard Ave Ste 200
Selah, WA 98942-1329

Phone

(509) 698-2520

Fax

(509) 698-2558

NPI assigned

Oct 10, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy R Ausink, PA-CNPI 1760902365

Title

Owner

Phone

(509) 698-2520

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ausink Family Medicine and Walk In Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy R Ausink

  • Physician Assistant
  • Yakima, WA
  • NPI 1760902365

  WA

  Medicare reassignment Authorized official
• Robert J. Rookstool, MD

  • Emergency Medicine Physician
  • Anacortes, WA
  • NPI 1154397818

  Family Medicine, WA

  Medicare reassignment NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1376268680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W ORCHARD AVE STE 200",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421329",
            "telephone_number": "509-698-2520",
            "fax_number": "509-698-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ORCHARD AVE STE 200",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421329",
            "telephone_number": "509-698-2520",
            "fax_number": "509-698-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSINK FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "AUSINK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-698-2520",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "604968950",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ausinkfamilymedicine.com",
            "affiliation": "N",
            "address_1": "105 W Orchard Ave Ste 200",
            "city": "Selah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989421329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ausink Family Medicine and Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ausink Family Medicine and Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlee N Agtuca
• Bailey Albrecht, PHARMD
• Maranda Alcazar
• Victoria Alvarez Mendoza, BIRTH DOULA
• Chesley Arevalo
• Kimberly Avalos
• Avventura, Inc
• Barbara Jayne Beebe
• Thomas Bell
• Ross W Bethel, MD

• All providers in Selah, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.