Main Street Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MAIN STREET CLINIC LLC

Doing business as

Main Street Clinic

Practice address

450 Morton Street
Elkhart, KS 67950

Phone

(620) 518-3139

NPI assigned

Dec 13, 2024

Last updated

Aug 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidy Brillhart, APRNNPI 1699002253

Title

Owner

Phone

(806) 236-6840

Specialties & licenses 1

Addresses

Other names 1

• Main Street Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7659/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidy Rebekah Brillhart, APRN

  • Family Nurse Practitioner
  • Elkhart, KS
  • NPI 1699002253
  Medicare reassignment Care Compare group NPD Authorized official
• Lindsay Dawn Alvarado, APRN

  • Nurse Practitioner
  • Johnson, KS
  • NPI 1710521869
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1841007739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "679500986",
            "telephone_number": "620-518-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MORTON STREET",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "67950",
            "telephone_number": "620-518-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "BRILLHART",
        "authorized_official_first_name": "HEIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-236-6840",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory A Esparza, MD, PHD
• Christian S Forrer, MD
• Owenita R Givens, RD/LD
• Olivia Nunez Iway, M.D
• Raul Lastimosa, M.D.
• Haley R McCammon, PA
• Morton County Hospital (Morton County Health System Assisted Living)
• Morton County Hospital (Morton County Medical Clinic)
• Morton County Hospital (MCHS Community Pharmacy)
• Morton County Hospital (Morton County Hospital Psych)

• Family Nurse Practitioner in Elkhart, KS
• Providers in Elkhart, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.