ESSENCIA FAMILY PRACTICE AND IMMEDIATE CARE CLINIC
NPI 1013407451
Clinic/Center - Primary Care in Carrollton, TX

Active since May 10, 2018CLIA 45D2148686 · Waiver
1509 W HEBRON PKWY STE 140, CARROLLTON, TX 75010(972) 306-0016(972) 306-0017 Get Directions Write a Review

NPPES record last updated: July 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2022, Oct 10, 2021, Jun 27, 2018 and 1 more (4 updates tracked since 2018).

About Essencia Family Practice And Immediate Care Clinic NPPES

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

ESSENCIA FAMILY PRACTICE AND IMMEDIATE CARE CLINIC (NPI 1013407451) is a healthcare organization registered as a primary care in Carrollton, Texas and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Olusesan Oluseun Olotu, Director, as its authorized official.

NPPES Registry Identity

NPI1013407451
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRENOVAR WELLCARE PLLC
Location Address1509 W HEBRON PKWY STE 140Carrollton, TX 75010-6492
Mailing Address8533 Royal County Down DrMckinney, TX 75070-1680 · (972) 306-0016
Fax(972) 306-0017
Organization SubpartNo
Authorized OfficialOlusesan Oluseun OlotuDirector · (972) 306-0016
Enumeration DateMay 10, 2018
Last NPPES UpdateJuly 10, 20224 updates tracked since enumeration
NPPES CertifiedJuly 10, 2022
NPI 1013407451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1509 W HEBRON PKWY STE 140, Carrollton, TX 75010

Other Names 1

Doing Business AsEssencia Family Practice And Immediate Care Clinic

Accepted Insurance

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 45D2148686

Essencia Family Practice & Immediate Care Clinic · Carrollton, TX
Active · expires May 15, 2028
CLIA Number45D2148686
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorOlusesan O. Olotu
Laboratory Phone(972) 306-0016
Laboratory LocationEssencia Family Practice & Immediate Care Clinic1509 W Hebron Pkwy Suite 140, Carrollton, TX 75010
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1509 W HEBRON PKWY STE 140
CARROLLTON, TX 75010

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 Renovar Wellcare PLLC's NPI number?

The NPI number for Renovar Wellcare PLLC is 1013407451. It was assigned to this organization in the NPPES registry on May 10, 2018. The provider is doing business as Essencia Family Practice And Immediate Care Clinic.

Where is Renovar Wellcare PLLC located?

Renovar Wellcare PLLC is located at 1509 W Hebron Pkwy Ste 140, Carrollton, TX 75010. The listed phone number is (972) 306-0016.

What is Renovar Wellcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Renovar Wellcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2148686) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renovar Wellcare PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Renovar Wellcare PLLC 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 Renovar Wellcare PLLC was last updated on July 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.