ISLAND GLO AESTHETICS & PRIMARY CARE PLLC
NPI 1275258295
Nurse Practitioner - Family in Houston, TX
About Island Glo Aesthetics & Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND GLO AESTHETICS & PRIMARY CARE PLLC (NPI 1275258295) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since October 2022. The organization lists Trevor Carlton Mckenzie, Owner, 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)
Island Glo Aesthetics & Primary Care 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 Island Glo Aesthetics & Primary Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Island Glo Aesthetics & Primary Care PLLC's NPI number?
The NPI number for Island Glo Aesthetics & Primary Care PLLC is 1275258295. It was assigned to this organization in the NPPES registry on October 12, 2022.
Where is Island Glo Aesthetics & Primary Care PLLC located?
Island Glo Aesthetics & Primary Care PLLC is located at 5373 W Alabama St Ste 204, Houston, TX 77056. The listed phone number is (954) 857-8671.
What is Island Glo Aesthetics & Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Island Glo Aesthetics & Primary Care PLLC enrolled in Medicare?
Yes. Island Glo Aesthetics & Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Glo Aesthetics & Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Island Glo Aesthetics & Primary Care 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.
What insurance does Island Glo Aesthetics & Primary Care PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Island Glo Aesthetics & Primary Care 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 Island Glo Aesthetics & Primary Care PLLC was last updated on January 22, 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.
# Island Glo Aesthetics & Primary Care Pllc · NPI 1275258295
Family organization in Houston, Texas. Organization record, active in the CMS NPPES registry since October 12, 2022.
## Identity
- **NPI:** 1275258295 (Entity type: Organization)
- **Enumerated:** October 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Trevor Mckenzie, OWNER
## Practice location
- **Address:** 5373 W ALABAMA ST STE 204, Houston, TX 77056-5923
- **Phone:** (954) 857-8671
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275258295) · Data from the CMS NPPES public registry.