WACO FUNCTIONAL MEDICINE, PA
NPI 1093016826
Family Medicine in Waco, TX
About Waco Functional Medicine, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WACO FUNCTIONAL MEDICINE, PA (NPI 1093016826) is a healthcare organization registered as a family medicine in Waco, Texas and active in the NPI registry since November 2010. The organization lists Lisa J Kirk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Waco Functional Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Waco Functional Medicine, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waco Functional Medicine, PA's NPI number?
The NPI number for Waco Functional Medicine, PA is 1093016826. It was assigned to this organization in the NPPES registry on November 10, 2010.
Where is Waco Functional Medicine, PA located?
Waco Functional Medicine, PA is located at 318 Richland West Cir Ste B, Waco, TX 76712. The listed phone number is (254) 776-8009.
What is Waco Functional Medicine, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Waco Functional Medicine, PA enrolled in Medicare?
Yes. Waco Functional Medicine, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Waco Functional Medicine, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Waco Functional Medicine, PA. 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. The largest specialties are Nurse Practitioner (5), Family Practice (1) and Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Waco Functional Medicine, PA was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Waco Functional Medicine, Pa · NPI 1093016826
Family Medicine organization in Waco, Texas. Organization record, active in the CMS NPPES registry since November 10, 2010.
## Identity
- **NPI:** 1093016826 (Entity type: Organization)
- **Enumerated:** November 10, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lisa Kirk, OWNER
## Practice location
- **Address:** 318 RICHLAND WEST CIR STE B, Waco, TX 76712-7919
- **Phone:** (254) 776-8009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), Internal Medicine (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1093016826) · Data from the CMS NPPES public registry.