1. Home
  2. Directory
  3. Texas
  4. Conroe
  5. Clinic Center
  6. NPI Profile

PRIME VITAL
NPI 1184501413
Clinic/Center - Multi-Specialty in Conroe, TX

Active since August 19, 2025CLIA 45D2349094 · Waiver
2017 N FRAZIER ST STE G8A, CONROE, TX 77301(936) 703-3468(936) 703-3469 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Vital NPPES

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

PRIME VITAL (NPI 1184501413) is a healthcare organization registered as a multi-specialty in Conroe, Texas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Clara Ike, Owner, as its authorized official.

NPPES Registry Identity

NPI1184501413
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIME VITAL
Location Address2017 N FRAZIER ST STE G8AConroe, TX 77301-1248
Mailing Address2257 N Loop 336 W Ste 140-246Conroe, TX 77304-3566 · (832) 656-6790
Phone(936) 703-3468
Fax(936) 703-3469
Organization SubpartNo
Authorized OfficialClara IkeOwner · (832) 656-6790
Enumeration DateAugust 19, 2025
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1184501413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2017 N FRAZIER ST STE G8A, Conroe, TX 77301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Prime Vital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Vital, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clara Ike, FNP-C
Nurse Practitioner
NPI 1699278960
3850 SAPP RD
Conroe, TX 77304
(832) 656-6790
✔ PECOS4.7 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 45D2349094

Prime Vital Clinic · Conroe, TX
Active · expires Aug 16, 2028
CLIA Number45D2349094
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorDr. Clara Ike
Laboratory Phone(832) 656-6790
Laboratory LocationPrime Vital Clinic2017 N. Frazier Suite G-8a, Conroe, TX 77301
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 Prime Vital's NPI number?

The NPI number for Prime Vital is 1184501413. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Prime Vital located?

Prime Vital is located at 2017 N Frazier St Ste G8a, Conroe, TX 77301. The listed phone number is (936) 703-3468.

What is Prime Vital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Prime Vital enrolled in Medicare?

Yes. Prime Vital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Vital?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prime Vital. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prime Vital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2349094) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Vital accept?

Health plans from Blue Cross and Blue Shield of Texas list Prime Vital 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 Prime Vital was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.