PREMIER PLUS PEDIATRICS, PLLC
NPI 1093310344
Nurse Practitioner - Pediatrics in Seguin, TX

Q: What is Premier Plus Pediatrics, PLLC's NPI number?

The NPI number for Premier Plus Pediatrics, PLLC is 1093310344. It was assigned to this organization in the NPPES registry on December 3, 2020.

Q: What is Premier Plus Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since December 03, 2020CLIA Certified · 2 labs

1414 E WALNUT ST, SEGUIN, TX 78155(830) 491-5019(830) 491-5109 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2025, Apr 21, 2021, Dec 3, 2020 (3 updates tracked since 2020).

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About Premier Plus Pediatrics, Pllc NPPES

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

PREMIER PLUS PEDIATRICS, PLLC (NPI 1093310344) is a healthcare organization registered as a pediatrics in Seguin, Texas and active in the NPI registry since December 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in La Vernia, and lists Amy Long, Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1093310344

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NamePREMIER PLUS PEDIATRICS, PLLC

Location Address1414 E WALNUT STSeguin, TX 78155-5175

Mailing Address1414 E Walnut StSeguin, TX 78155-5175 · (830) 491-5019

Phone(830) 491-5019

Fax(830) 491-5109

Organization SubpartNo

Authorized OfficialAmy LongNurse Practioner · (830) 491-5019

Enumeration DateDecember 3, 2020

Last NPPES UpdateJune 28, 20253 updates tracked since enumeration

NPPES CertifiedJune 28, 2025

✔ NPI 1093310344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

1414 E WALNUT ST, Seguin, TX 78155

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Secondary Practice Location 1

Location 1427 Bluebonnet Rd Ste 100LA Vernia, TX 78121-5044 · Phone (830) 217-0129 · Fax (830) 239-8428

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 45D2214712

Premier Plus Pediatrics, PLLC · Seguin, TX

Active · expires Feb 23, 2027

CLIA Number45D2214712

Laboratory TypePhysician Office

Certificate Effective DateFebruary 24, 2025

Certificate Expiration DateFebruary 23, 2027

Laboratory DirectorIsmaela P. Gomez

Laboratory Phone(830) 491-5019

Laboratory LocationPremier Plus Pediatrics, PLLC1414 E Walnut, Seguin, TX 78155

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2325658

Premier Plus Pediatrics, PLLC · La Vernia, TX

Active · expires Jun 16, 2027

CLIA Number45D2325658

Laboratory TypePhysician Office

Certificate Effective DateJune 17, 2025

Certificate Expiration DateJune 16, 2027

Laboratory DirectorIsmael P. Gomez

Laboratory Phone(830) 217-0129

Laboratory LocationPremier Plus Pediatrics, PLLC427 Bluebonnet Rd Bldg A Ste # 100, La Vernia, TX 78121

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

MRS. MEGAN DLYNN WENZEL NP-C

Nurse Practitioner (Family)