NORTH EAST FAMILY CLINIC PA
NPI 1255849097
Family Medicine in El Paso, TX
About North East Family Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH EAST FAMILY CLINIC PA (NPI 1255849097) is a healthcare organization registered as a family medicine in El Paso, Texas and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Claudia Jacquez, Md Liasion, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
North East Family Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to North East Family Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 45D2167309
Northeast Family Clinic PA · El Paso, TXFrequently 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 North East Family Clinic PA's NPI number?
The NPI number for North East Family Clinic PA is 1255849097. It was assigned to this organization in the NPPES registry on January 15, 2018.
Where is North East Family Clinic PA located?
North East Family Clinic PA is located at 9740 Dyer St Ste 111&112, El Paso, TX 79924. The listed phone number is (915) 500-5030.
What is North East Family Clinic PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is North East Family Clinic PA enrolled in Medicare?
Yes. North East Family Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North East Family Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North East Family Clinic PA, in Family Practice and Nurse Practitioner. 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.
Does North East Family Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2167309) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does North East Family Clinic PA accept?
Health plans from WellPoint list North East Family Clinic PA 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 North East Family Clinic PA was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# North East Family Clinic Pa · NPI 1255849097
Family Medicine organization in El Paso, Texas. Organization record, active in the CMS NPPES registry since January 15, 2018.
## Identity
- **NPI:** 1255849097 (Entity type: Organization)
- **Enumerated:** January 15, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Claudia Jacquez, MD LIASION
## Practice location
- **Address:** 9740 DYER ST STE 111&112, El Paso, TX 79924-4752
- **Phone:** (915) 500-5030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255849097) · Data from the CMS NPPES public registry.