HEAL TECH MED LLC
NPI 1215816053
Nurse Practitioner - Family in Mansfield, TX

Active since August 27, 2025
2384 HIGHWAY 287 N STE 216, MANSFIELD, TX 76063(469) 567-9974(817) 415-6595 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heal Tech Med Llc NPPES

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

HEAL TECH MED LLC (NPI 1215816053) is a healthcare organization registered as a family in Mansfield, Texas and active in the NPI registry since August 2025. The organization lists Paidamoyo Yvonne Wagoneka, Owner, as its authorized official.

NPPES Registry Identity

NPI1215816053
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEAL TECH MED LLC
Location Address2384 HIGHWAY 287 N STE 216Mansfield, TX 76063-9207
Mailing Address2384 Highway 287 N Ste 216Mansfield, TX 76063-9207 · (469) 567-9974 · Fax (817) 415-6595
Fax(817) 415-6595
Organization SubpartNo
Authorized OfficialPaidamoyo Yvonne WagonekaOwner · (469) 567-9974
Enumeration DateAugust 27, 2025
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1215816053 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
2384 HIGHWAY 287 N STE 216, Mansfield, TX 76063

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)

Heal Tech Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Heal Tech Med LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1700391257
2384 HIGHWAY 287 N STE 216
Mansfield, TX 76063
(817) 400-0433
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760127377
623 VISTA VERDE DR
Grand Prairie, TX 75051
(214) 923-8252
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1568715514
7311 S HULEN ST
Fort Worth, TX 76133
(469) 687-0039
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1205518784
6777 CAMP BOWIE BLVD
Fort Worth, TX 76116
(817) 670-4464
✔ PECOS18 mi
Nurse Practitioner
NPI 1457058554
6029 BELT LINE RD STE 105
Dallas, TX 75254
(855) 893-5637
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Heal Tech Med LLC's NPI number?

The NPI number for Heal Tech Med LLC is 1215816053. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Heal Tech Med LLC located?

Heal Tech Med LLC is located at 2384 Highway 287 N Ste 216, Mansfield, TX 76063. The listed phone number is (469) 567-9974.

What is Heal Tech Med LLC's specialty?

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

Is Heal Tech Med LLC enrolled in Medicare?

Yes. Heal Tech Med LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heal Tech Med LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Heal Tech Med LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heal Tech Med LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Heal Tech Med LLC 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 Heal Tech Med LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.