SPRING BRANCH COMMUNITY HEALTH CENTER
NPI 1093186728
Clinic/Center - Federally Qualified Health Center (FQHC) in Houston, TX

Active since October 07, 2015CLIA 45D1014259 · Microscopy
1905 JACQUELYN DR # 101, HOUSTON, TX 77055(713) 462-6565(713) 732-9665 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, Sep 11, 2024, Jun 12, 2024 and 6 more (9 updates tracked since 2017).

About Spring Branch Community Health Center NPPES

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

SPRING BRANCH COMMUNITY HEALTH CENTER (NPI 1093186728) is a healthcare organization registered as a federally qualified health center (fqhc) in Houston, Texas and active in the NPI registry since October 2015. The organization holds a CLIA Microscopy certificate valid through August 6, 2027 and lists Marlen J Tujillo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093186728
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSPRING BRANCH COMMUNITY HEALTH CENTER
Location Address1905 JACQUELYN DR # 101Houston, TX 77055-2502
Mailing Address5502 1st StKaty, TX 77493-2472 · (713) 462-6565 · Fax (832) 831-5369
Fax(713) 732-9665
Organization SubpartNo
Authorized OfficialMarlen J TujilloChief Executive Officer · (713) 462-6565
Enumeration DateOctober 7, 2015
Last NPPES UpdateJune 20, 20259 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1093186728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X
1905 JACQUELYN DR # 101, Houston, TX 77055

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Spring Branch Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Spring Branch Community Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Obstetrics/Gynecology26
Nurse Practitioner23
Pediatric Medicine12
Mental Health Counselor8
Family Practice4
Clinical Social Worker2
Internal Medicine2
Dentist1

Nearest to this location (20)

See all 78
Pediatric Medicine
NPI 1770016859
1905 JACQUELYN DR STE 101
Houston, TX 77055
(713) 462-6565
✔ PECOSSame address
Mental Health Counselor
NPI 1033927165
1905 JACQUELYN DR
Houston, TX 77055
(713) 462-6565
✔ PECOSSame address
Nurse Practitioner
NPI 1245847102
2323 WIRT RD STE F8
Houston, TX 77055
(713) 467-4900
✔ PECOS0.8 mi
Mental Health Counselor
NPI 1275131559
1615 HILLENDAHL BLVD STE 100
Houston, TX 77055
(713) 462-6565
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1871177824
1615 HILLENDAHL BLVD
Houston, TX 77055
(713) 462-6565
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1558719658
8575 PITNER RD
Houston, TX 77080
(713) 462-6565
✔ PECOS2.0 mi
Internal Medicine
NPI 1932158458
8575 PITNER RD
Houston, TX 77080
(713) 462-6565
✔ PECOS2.0 mi
Mental Health Counselor
NPI 1346631850
8575 PITNER RD
Houston, TX 77080
(713) 462-6565
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1588945927
8575 PITNER RD
Houston, TX 77080
(713) 462-6565
✔ PECOS2.0 mi
Obstetrics/Gynecology
NPI 1174012884
8731 KATY FWY STE 420
Houston, TX 77024
(713) 424-4824
✔ PECOS✔ Accepts Medicare2.1 mi
Obstetrics/Gynecology
NPI 1821583881
8731 KATY FWY STE 420
Houston, TX 77024
(713) 424-4824
✔ PECOS✔ Accepts Medicare2.1 mi
Mental Health Counselor
NPI 1578812020
9190 KATY FREEWAY SUITE 104
Houston, TX 77055
(713) 924-7631
✔ PECOS✔ Accepts Medicare2.6 mi
Obstetrics/Gynecology
NPI 1043517998
2150 W. 18TH STREET SUITE 300
Houston, TX 77008
(713) 426-0027
✔ PECOS2.7 mi
Obstetrics/Gynecology
NPI 1972595395
902 FROSTWOOD DR SUITE 108
Houston, TX 77024
(713) 827-4744
✔ PECOS4.3 mi
Obstetrics/Gynecology
NPI 1740591858
2603 AUGUSTA DR STE 1450
Houston, TX 77057
(832) 962-4455
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1740278035
12727 KIMBERLEY LN STE 202
Houston, TX 77024
(713) 275-2990
✔ PECOS5.1 mi
Obstetrics/Gynecology
NPI 1821210949
5598 NORTH FWY # A1
Houston, TX 77076
(832) 548-5000
✔ PECOS✔ Accepts Medicare6.0 mi
Family Practice
NPI 1255596342
7333 NORTH FWY STE 430
Houston, TX 77076
(832) 482-1200
✔ PECOS6.1 mi
Pediatric Medicine
NPI 1023452877
7333 NORTH FWY STE 122
Houston, TX 77076
(713) 694-3177
✔ PECOS6.1 mi
Internal Medicine
NPI 1871683946
7737 SOUTHWEST FWY STE 400
Houston, TX 77074
(281) 674-1700
✔ PECOS✔ Accepts Medicare8.0 mi
See all 78 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 45D1014259

Spring Branch Community Health Center · Houston, TX
Active · expires Aug 6, 2027
CLIA Number45D1014259
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorDavid Krusleski
Laboratory Phone(713) 462-6565
Laboratory LocationSpring Branch Community Health Center1615 Hillendahl, Ste 100, Houston, TX 77055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Spring Branch Community Health Center's NPI number?

The NPI number for Spring Branch Community Health Center is 1093186728. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Spring Branch Community Health Center located?

Spring Branch Community Health Center is located at 1905 Jacquelyn Dr # 101, Houston, TX 77055. The listed phone number is (713) 462-6565.

What is Spring Branch Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Spring Branch Community Health Center enrolled in Medicare?

Yes. Spring Branch Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spring Branch Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 8 Medicare specialties reassign their Medicare billing to Spring Branch Community Health Center. 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 Obstetrics/Gynecology (26), Nurse Practitioner (23) and Pediatric Medicine (12). Of these, 2 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spring Branch Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1014259) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spring Branch Community Health Center accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Spring Branch Community Health Center 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 Spring Branch Community Health Center was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.