FAMILY HEALTHCARE CLINIC, PLLC
NPI 1285063370
Nurse Practitioner - Family in Coleman, TX

Active since November 08, 2013CLIA 45D2272688 · Waiver
123 SANTA ANNA AVE, COLEMAN, TX 76834(325) 625-9000(325) 625-9010 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2017, Jan 13, 2017 (2 updates tracked since 2017).

About Family Healthcare Clinic, Pllc NPPES

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

FAMILY HEALTHCARE CLINIC, PLLC (NPI 1285063370) is a healthcare organization registered as a family in Coleman, Texas and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Elizabeth Ann Young, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1285063370
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY HEALTHCARE CLINIC, PLLC
Location Address123 SANTA ANNA AVEColeman, TX 76834-7409
Mailing Address123 Santa Anna AveColeman, TX 76834-7409 · (325) 823-7575 · Fax (325) 455-7982
Fax(325) 625-9010
Organization SubpartNo
Authorized OfficialElizabeth Ann YoungFnp-c · (325) 823-7575
Enumeration DateNovember 8, 2013
Last NPPES UpdateSeptember 3, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2021
✔ NPI 1285063370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 785855
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
123 SANTA ANNA AVE, Coleman, TX 76834

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Healthcare Clinic, Pllc 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 Family Healthcare Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1972932051
123 SANTA ANNA AVE
Coleman, TX 76834
(325) 625-9000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255348793
950 HILLTOP DR STE 102
Weatherford, TX 76086
(682) 499-3800
✔ PECOS✔ Accepts Medicare116 mi

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 45D2272688

Family Healthcare Clinic, PLLC · Coleman, TX
Active · expires Nov 27, 2026
CLIA Number45D2272688
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorElizabeth A. Young
Laboratory Phone(325) 625-9000
Laboratory LocationFamily Healthcare Clinic, PLLC123 Santa Anna Ave, Coleman, TX 76834
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 Family Healthcare Clinic, PLLC's NPI number?

The NPI number for Family Healthcare Clinic, PLLC is 1285063370. It was assigned to this organization in the NPPES registry on November 8, 2013.

Where is Family Healthcare Clinic, PLLC located?

Family Healthcare Clinic, PLLC is located at 123 Santa Anna Ave, Coleman, TX 76834. The listed phone number is (325) 625-9000.

What is Family Healthcare Clinic, PLLC's specialty?

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

Is Family Healthcare Clinic, PLLC enrolled in Medicare?

Yes. Family Healthcare Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Healthcare Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Healthcare Clinic, PLLC, 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Healthcare Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2272688) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Healthcare Clinic, PLLC was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.