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COASTAL BEND WELLNESS FOUNDATION INC
NPI 1144523671
Clinic/Center - Federally Qualified Health Center (FQHC) in Corpus Christi, TX

Active since December 06, 2010CLIA 45D1035524 · Waiver
2882 HOLLY RD., CORPUS CHRISTI, TX 78415(361) 814-2001(361) 883-1998 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2024, Oct 12, 2020, May 23, 2019 and 1 more (4 updates tracked since 2017).

About Coastal Bend Wellness Foundation Inc NPPES

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

COASTAL BEND WELLNESS FOUNDATION INC (NPI 1144523671) is a healthcare organization registered as a federally qualified health center (fqhc) in Corpus Christi, Texas and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through January 4, 2027, maintains a secondary practice location in Corpus Christi, and lists Bill Jeron Hoelscher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144523671
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL BEND WELLNESS FOUNDATION INC
Location Address2882 HOLLY RD.Corpus Christi, TX 78415
Mailing Address5633 S Staples St Ste 700Corpus Christi, TX 78411-4679 · (361) 814-2001 · Fax (361) 883-1998
Phone(361) 814-2001
Fax(361) 883-1998
Organization SubpartNo
Authorized OfficialBill Jeron HoelscherCeo · (361) 814-2001
Enumeration DateDecember 6, 2010
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1144523671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2882 HOLLY RD., Corpus Christi, TX 78415
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Secondary Practice Location 1

Location 15633 S Staples St, Suite 700Corpus Christi, TX 78411-4646 · Phone (361) 814-2001 · Fax (361) 883-1998

Other Identifiers 1

Medicaid291803903TX

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

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Bend Wellness Foundation Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Coastal Bend Wellness Foundation Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Mental Health Counselor6
Nurse Practitioner6
Family Practice3
Internal Medicine2

Clinicians, nearest first (17)

Susannah Alba-Padron, PMHNP-BC
Nurse Practitioner
NPI 1538936802
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Hernandez, MS, LPC, NCC, LCDC
Mental Health Counselor
NPI 1104407535
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Lina Lara, M.S, L.P.C
Mental Health Counselor
NPI 1134501935
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Ruth Luna, LPC, LCDC
Mental Health Counselor
NPI 1962740902
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOSSame address
Patricia Mullan-Waldrop, ARNP
Nurse Practitioner
NPI 1538559562
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Rolando Perez, MD
Family Practice
NPI 1174844633
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Lindsay Prado, LPC
Mental Health Counselor
NPI 1962891887
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOSSame address
Davy Shepherd, DO
Internal Medicine
NPI 1457810715
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Eric Spicuzza, DO
Internal Medicine
NPI 1629505680
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts MedicareSame address
Francesca Gray, DO
Family Practice
NPI 1730827783
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 579-8300
✔ PECOS✔ Accepts Medicare0.1 mi
Janatte Kanaan, D.O.
Family Practice
NPI 1679758056
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS✔ Accepts Medicare0.1 mi
Patricia Shaw, LPC-S
Mental Health Counselor
NPI 1336126747
2882 HOLLY RD
Corpus Christi, TX 78415
(361) 814-2001
✔ PECOS0.1 mi
Melissa Saldivar, FNP-C
Nurse Practitioner
NPI 1205355021
6214 SARATOGA BLVD BLDG 3 STE A
Corpus Christi, TX 78414
(361) 520-4250
✔ PECOS✔ Accepts Medicare4.3 mi
Tamika Mixon, APRN, FNP-C
Nurse Practitioner
NPI 1720754898
1627 WILDCAT DR
Portland, TX 78374
(361) 643-1552
✔ PECOS✔ Accepts Medicare13 mi
Marissa Leal, APRN FNP-C
Nurse Practitioner
NPI 1265071260
2413 MEMORIAL PKWY
Portland, TX 78374
(361) 643-4546
✔ PECOS✔ Accepts Medicare14 mi
Johanna Evans, FNP-C, APRN
Nurse Practitioner
NPI 1568019958
746 COUNTY ROAD 75
Bishop, TX 78343
(361) 445-7673
✔ PECOS✔ Accepts Medicare21 mi
Jessica Limon, MA, LPC
Mental Health Counselor
NPI 1275150922
12915 JONES MALTSBERGER RD STE 430
San Antonio, TX 78247
(210) 463-5059
✔ PECOS✔ Accepts Medicare141 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 45D1035524

Coastal Bend Wellness Foundation · Corpus Christi, TX
Active · expires Jan 4, 2027
CLIA Number45D1035524
Laboratory TypeOther
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorBill Hoelscher
Laboratory Phone(361) 814-2001
Laboratory LocationCoastal Bend Wellness Foundation2882 Holly Road, Corpus Christi, TX 78415
CLIA data matches this NPI record on: Address 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 Coastal Bend Wellness Foundation Inc's NPI number?

The NPI number for Coastal Bend Wellness Foundation Inc is 1144523671. It was assigned to this organization in the NPPES registry on December 6, 2010.

Where is Coastal Bend Wellness Foundation Inc located?

Coastal Bend Wellness Foundation Inc is located at 2882 Holly Rd., Corpus Christi, TX 78415. The listed phone number is (361) 814-2001.

What is Coastal Bend Wellness Foundation Inc's specialty?

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

Is Coastal Bend Wellness Foundation Inc enrolled in Medicare?

Yes. Coastal Bend Wellness Foundation Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Bend Wellness Foundation Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Bend Wellness Foundation Inc. 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 Mental Health Counselor (6), Nurse Practitioner (6) and Family Practice (3). Of these, 9 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coastal Bend Wellness Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1035524) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Bend Wellness Foundation Inc accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Coastal Bend Wellness Foundation Inc 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 Coastal Bend Wellness Foundation Inc was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.