COLLIN MEDICAL & WELLNESS GROUP PLLC
NPI 1134730534
Nurse Practitioner - Family in Rowlett, TX

Active since August 11, 2020CLIA 45D2214880 · Waiver
9400 LAKEVIEW PKWY STE 111, ROWLETT, TX 75088(469) 270-7854(469) 329-1044 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Collin Medical & Wellness Group Pllc NPPES

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

COLLIN MEDICAL & WELLNESS GROUP PLLC (NPI 1134730534) is a healthcare organization registered as a family in Rowlett, Texas and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Adebukola Obasanya, Owner, as its authorized official.

NPPES Registry Identity

NPI1134730534
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLLIN MEDICAL & WELLNESS GROUP PLLC
Location Address9400 LAKEVIEW PKWY STE 111Rowlett, TX 75088-4434
Mailing Address6841 Virginia Pkwy Ste 103-307Mckinney, TX 75071-5710
Fax(469) 329-1044
Organization SubpartNo
Authorized OfficialAdebukola ObasanyaOwner · (469) 270-7854
Enumeration DateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1134730534 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
9400 LAKEVIEW PKWY STE 111, Rowlett, TX 75088

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)

Collin Medical & Wellness Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Collin Medical & Wellness Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1518746940
1413 OATES DR
Mesquite, TX 75150
(866) 389-2727
✔ PECOS8.5 mi
Nurse Practitioner
NPI 1306482492
8080 INDEPENDENCE PKWY STE 200
Plano, TX 75025
(972) 596-9511
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1356901581
307 S MCDONALD ST STE 500
Mckinney, TX 75069
(469) 202-7572
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1689421497
307 S MCDONALD ST STE 500
Mckinney, TX 75069
(469) 202-7572
✔ PECOS20 mi
Nurse Practitioner
NPI 1871308684
5018 ENCLAVE CT
Mckinney, TX 75072
(469) 238-9311
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1063989119
13409 HARTLAND ST
Crowley, TX 76036
(214) 717-0454
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1588067078
4593 ELVIS PRESLEY BLVD STE 101
Memphis, TN 38116
(901) 261-7338
✔ PECOS✔ Accepts Medicare399 mi
Internal Medicine
NPI 1609431386
450 BROOKLINE AVE
Boston, MA 02215
(617) 632-6300
✔ PECOS✔ Accepts Medicare1,529 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 45D2214880

Collin Medical & Wellness Group · Mckinney, TX
Active · expires Feb 24, 2027
CLIA Number45D2214880
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorAdebukola Obasanya
Laboratory Phone(469) 270-7854
Laboratory LocationCollin Medical & Wellness Group307 S Mcdonald St Suite 500, Mckinney, TX 75069
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 Collin Medical & Wellness Group PLLC's NPI number?

The NPI number for Collin Medical & Wellness Group PLLC is 1134730534. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Collin Medical & Wellness Group PLLC located?

Collin Medical & Wellness Group PLLC is located at 9400 Lakeview Pkwy Ste 111, Rowlett, TX 75088. The listed phone number is (469) 270-7854.

What is Collin Medical & Wellness Group PLLC's specialty?

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

Is Collin Medical & Wellness Group PLLC enrolled in Medicare?

Yes. Collin Medical & Wellness Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collin Medical & Wellness Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Collin Medical & Wellness Group PLLC. 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 (7) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Collin Medical & Wellness Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2214880) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Collin Medical & Wellness Group PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Collin Medical & Wellness Group PLLC 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 Collin Medical & Wellness Group PLLC was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.