WHITEHOUSE PREMIER HEALTH AND WELLNESS LLC
NPI 1255186862
Nurse Practitioner - Family in Whitehouse, TX

Active since April 18, 2024
602 STATE HIGHWAY 110 N, WHITEHOUSE, TX 75791(903) 521-3650 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Whitehouse Premier Health And Wellness Llc NPPES

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

WHITEHOUSE PREMIER HEALTH AND WELLNESS LLC (NPI 1255186862) is a healthcare organization registered as a family in Whitehouse, Texas and active in the NPI registry since April 2024. The organization lists David Hardy, Owner, as its authorized official.

NPPES Registry Identity

NPI1255186862
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWHITEHOUSE PREMIER HEALTH AND WELLNESS LLC
Location Address602 STATE HIGHWAY 110 NWhitehouse, TX 75791-3053
Mailing Address801 Sunny MdwsWhitehouse, TX 75791-3916 · (903) 521-3650
Organization SubpartNo
Authorized OfficialDavid HardyOwner · (903) 521-3650
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1255186862 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
602 STATE HIGHWAY 110 N, Whitehouse, TX 75791

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Whitehouse Premier Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Whitehouse Premier Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1083149397
1000 E 5TH ST
Tyler, TX 75701
(903) 596-3500
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1114625670
510 E COMMERCE ST
Jacksonville, TX 75766
(903) 535-9041
✔ PECOS✔ Accepts Medicare19 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 Whitehouse Premier Health And Wellness LLC's NPI number?

The NPI number for Whitehouse Premier Health And Wellness LLC is 1255186862. It was assigned to this organization in the NPPES registry on April 18, 2024.

Where is Whitehouse Premier Health And Wellness LLC located?

Whitehouse Premier Health And Wellness LLC is located at 602 State Highway 110 N, Whitehouse, TX 75791. The listed phone number is (903) 521-3650.

What is Whitehouse Premier Health And Wellness LLC's specialty?

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

Is Whitehouse Premier Health And Wellness LLC enrolled in Medicare?

Yes. Whitehouse Premier Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Whitehouse Premier Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Whitehouse Premier Health And Wellness 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Whitehouse Premier Health And Wellness LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Whitehouse Premier Health And Wellness 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 Whitehouse Premier Health And Wellness LLC was last updated on April 18, 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.