JACQUELENE MITCHELL ADIELE, MD, PA
NPI 1306106687
Internal Medicine in Killeen, TX
About Jacquelene Mitchell Adiele, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELENE MITCHELL ADIELE, MD, PA (NPI 1306106687) is a healthcare organization registered as an internal medicine in Killeen, Texas and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Jacquelene Mitchell Adiele, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelene Mitchell Adiele, Md, Pa 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 Jacquelene Mitchell Adiele, MD, PA, 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.
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 45D0969927
Jacquelene Mitchell Adiele MD PA · Killeen, 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 Jacquelene Mitchell Adiele, MD, PA's NPI number?
The NPI number for Jacquelene Mitchell Adiele, MD, PA is 1306106687. It was assigned to this organization in the NPPES registry on May 21, 2012.
Where is Jacquelene Mitchell Adiele, MD, PA located?
Jacquelene Mitchell Adiele, MD, PA is located at 3816 Clear Creek Rd Ste A, Killeen, TX 76549. The listed phone number is (254) 200-2748.
What is Jacquelene Mitchell Adiele, MD, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jacquelene Mitchell Adiele, MD, PA enrolled in Medicare?
Yes. Jacquelene Mitchell Adiele, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacquelene Mitchell Adiele, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jacquelene Mitchell Adiele, MD, PA. 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.
Does Jacquelene Mitchell Adiele, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0969927) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jacquelene Mitchell Adiele, MD, PA was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Jacquelene Mitchell Adiele, Md, Pa · NPI 1306106687
Internal Medicine organization in Killeen, Texas. Organization record, active in the CMS NPPES registry since May 21, 2012.
## Identity
- **NPI:** 1306106687 (Entity type: Organization)
- **Enumerated:** May 21, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jacquelene Adiele, OWNER
## Practice location
- **Address:** 3816 CLEAR CREEK RD STE A, Killeen, TX 76549-4401
- **Phone:** (254) 200-2748 · **Fax:** (254) 200-2757
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2026
- **Other identifiers:** Other TXB158052 (TX); Other TXB158053 (TX); Other 1306106687; and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306106687) · Data from the CMS NPPES public registry.