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THE WELLNESS STATION LLC
NPI 1073477444
Nurse Practitioner in Lavon, TX

Active since December 10, 2025CLIA 45D2340773 · Waiver
845 S STATE HWY 78, STE 150, LAVON, TX 75166(972) 532-6214 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Dec 10, 2025 (2 updates tracked since 2025).

About The Wellness Station Llc NPPES

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

THE WELLNESS STATION LLC (NPI 1073477444) is a healthcare organization registered as a nurse practitioner in Lavon, Texas and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Punnam Stephan, Owner, as its authorized official.

NPPES Registry Identity

NPI1073477444
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE WELLNESS STATION LLC
Location Address845 S STATE HWY 78, STE 150Lavon, TX 75166
Mailing Address845 S State Hwy 78, Ste 150Lavon, TX 75166 · (972) 532-6214
Phone(972) 532-6214
Organization SubpartNo
Authorized OfficialPunnam StephanOwner · (972) 532-6214
Enumeration DateDecember 10, 2025
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1073477444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
845 S STATE HWY 78, Lavon, TX 75166
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

The Wellness Station Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Wellness Station LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Punnam Stephan, APRN, FNP-C
Nurse Practitioner
NPI 1104245984
845 S STATE HWY 78 STE 150
Lavon, TX 75166
(972) 532-6214
✔ PECOS✔ Accepts MedicareSame address

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 45D2340773

The Wellness Station, LLC · Lavon, TX
Active · expires Mar 22, 2028
CLIA Number45D2340773
Laboratory TypePractitioner Other
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorStephan Punnam
Laboratory Phone(972) 532-6214
Laboratory LocationThe Wellness Station, LLC845 S Hwy 78 Ste 150, Lavon, TX 75166
CLIA data matches this NPI record on: Name Phone
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 The Wellness Station LLC's NPI number?

The NPI number for The Wellness Station LLC is 1073477444. It was assigned to this organization in the NPPES registry on December 10, 2025.

Where is The Wellness Station LLC located?

The Wellness Station LLC is located at 845 S State Hwy 78 Ste 150, Lavon, TX 75166. The listed phone number is (972) 532-6214.

What is The Wellness Station LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is The Wellness Station LLC enrolled in Medicare?

Yes. The Wellness Station LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Wellness Station LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The Wellness Station 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Wellness Station LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2340773) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Wellness Station LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list The Wellness Station LLC 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 The Wellness Station LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.