ELITE HEALTHCARE SERVICES, PLLC
NPI 1194317156
Family Medicine in Lake Jackson, TX

Active since February 10, 2021CLIA 45D2235041 · Waiver
190 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566(979) 529-2520(979) 529-2537 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, Feb 10, 2021 (2 updates tracked since 2021).

About Elite Healthcare Services, Pllc NPPES

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

ELITE HEALTHCARE SERVICES, PLLC (NPI 1194317156) is a healthcare organization registered as a family medicine in Lake Jackson, Texas and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Nancy Roman, President, as its authorized official.

NPPES Registry Identity

NPI1194317156
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE HEALTHCARE SERVICES, PLLC
Location Address190 ABNER JACKSON PKWYLake Jackson, TX 77566-5169
Mailing Address190 Abner Jackson PkwyLake Jackson, TX 77566-5169 · (979) 529-2520 · Fax (979) 529-2537
Fax(979) 529-2537
Organization SubpartNo
Authorized OfficialNancy RomanPresident · (979) 529-2520
Enumeration DateFebruary 10, 2021
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1194317156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
190 ABNER JACKSON PKWY, Lake Jackson, TX 77566

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)

Elite Healthcare Services, Pllc 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 Elite Healthcare Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1629545462
190 ABNER JACKSON PKWY STE 220
Lake Jackson, TX 77566
(979) 549-1218
✔ PECOS✔ Accepts MedicareSame address

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 45D2235041

Elite Healthcare Services, LLC · Lake Jackson, TX
Active · expires Sep 6, 2027
CLIA Number45D2235041
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorNatalie N. Roman
Laboratory Phone(979) 529-2520
Laboratory LocationElite Healthcare Services, LLC190 Abner Jackson Pkwy Suite 200, Lake Jackson, TX 77566
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 Elite Healthcare Services, PLLC's NPI number?

The NPI number for Elite Healthcare Services, PLLC is 1194317156. It was assigned to this organization in the NPPES registry on February 10, 2021.

Where is Elite Healthcare Services, PLLC located?

Elite Healthcare Services, PLLC is located at 190 Abner Jackson Pkwy, Lake Jackson, TX 77566. The listed phone number is (979) 529-2520.

What is Elite Healthcare Services, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elite Healthcare Services, PLLC enrolled in Medicare?

Yes. Elite Healthcare Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Healthcare Services, PLLC?

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

Does Elite Healthcare Services, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2235041) is associated with this NPI, valid through September 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Healthcare Services, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Elite Healthcare Services, 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 Elite Healthcare Services, PLLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.