ARLINGTON PROGRESSIVE HEALTH CENTER INC.
NPI 1013644608
Nurse Practitioner - Family in Arlington, TX

Active since August 03, 2022CLIA 45D2275654 · Waiver
306 E RANDOL MILL RD STE 136, ARLINGTON, TX 76011(682) 597-5097 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2022, Aug 3, 2022 (2 updates tracked since 2022).

About Arlington Progressive Health Center Inc. NPPES

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

ARLINGTON PROGRESSIVE HEALTH CENTER INC. (NPI 1013644608) is a healthcare organization registered as a family in Arlington, Texas and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Adebayo Olatunji, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013644608
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameARLINGTON PROGRESSIVE HEALTH CENTER INC.
Location Address306 E RANDOL MILL RD STE 136Arlington, TX 76011-5841
Mailing Address2600 Mall CirFort Worth, TX 76116-1546 · (817) 870-1033
Organization SubpartNo
Authorized OfficialAdebayo OlatunjiAdministrator · (682) 597-5097
Enumeration DateAugust 3, 2022
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1013644608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
306 E RANDOL MILL RD STE 136, Arlington, TX 76011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Arlington Progressive Health Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Arlington Progressive Health Center Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1376054718
306 E RANDOL MILL RD STE 136
Arlington, TX 76011
(817) 697-4619
✔ PECOS0.3 mi
Family Practice
NPI 1609515212
2737 SHERMAN ST
Grand Prairie, TX 75051
(214) 857-3450
✔ PECOS3.6 mi
Family Practice
NPI 1194918649
654 SAINT LOUIS AVE
Fort Worth, TX 76104
(817) 386-9818
✔ PECOS✔ Accepts Medicare13 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 45D2275654

Arlington Progressive Health Center · Arlington, TX
Active · expires Jan 24, 2027
CLIA Number45D2275654
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorAdebayo Olatunji
Laboratory Phone(817) 697-6519
Laboratory LocationArlington Progressive Health Center306 E Randol Mill Rd Suite 136, Arlington, TX 76011
CLIA data matches this NPI record on: Address Name
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 Arlington Progressive Health Center Inc.'s NPI number?

The NPI number for Arlington Progressive Health Center Inc. is 1013644608. It was assigned to this organization in the NPPES registry on August 3, 2022.

Where is Arlington Progressive Health Center Inc. located?

Arlington Progressive Health Center Inc. is located at 306 E Randol Mill Rd Ste 136, Arlington, TX 76011. The listed phone number is (682) 597-5097.

What is Arlington Progressive Health Center Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Arlington Progressive Health Center Inc. enrolled in Medicare?

Yes. Arlington Progressive Health Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arlington Progressive Health Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Arlington Progressive Health Center Inc., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arlington Progressive Health Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2275654) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arlington Progressive Health Center Inc. accept?

Health plans from Cigna Healthcare, Molina Healthcare and WellPoint list Arlington Progressive Health Center Inc. 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 Arlington Progressive Health Center Inc. was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.