PECULIAR WELLNESS CENTER LLC
NPI 1306542865
Registered Nurse - Psychiatric/Mental Health in Grand Prairie, TX

Active since February 06, 2023CLIA 45D2281527 · Waiver
1030 S CARRIER PKWY STE 100, GRAND PRAIRIE, TX 75051(469) 373-2260 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, Nov 7, 2025, Nov 20, 2024 and 2 more (5 updates tracked since 2023).

About Peculiar Wellness Center Llc NPPES

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

PECULIAR WELLNESS CENTER LLC (NPI 1306542865) is a healthcare organization registered as a psychiatric/mental health in Grand Prairie, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Anthonia Duru, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306542865
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NamePECULIAR WELLNESS CENTER LLC
Location Address1030 S CARRIER PKWY STE 100Grand Prairie, TX 75051-1527
Mailing Address1030 S Carrier Pkwy Ste 100Grand Prairie, TX 75051-1527 · (469) 373-2260
Organization SubpartNo
Authorized OfficialAnthonia DuruAdministrator · (469) 373-2260
Enumeration DateFebruary 6, 2023
Last NPPES UpdateJune 2, 20265 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1306542865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
1030 S CARRIER PKWY STE 100, Grand Prairie, TX 75051

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Peculiar Wellness Center Llc 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 Peculiar Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1669096905
1030 S CARRIER PKWY STE 100
Grand Prairie, TX 75051
(469) 373-2260
✔ PECOS✔ Accepts MedicareSame address

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 45D2281527

Peculiar Care Wellness Center, LLC · Grand Prairie, TX
Active · expires May 8, 2027
CLIA Number45D2281527
Laboratory TypePractitioner Other
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorAnthonia Duru
Laboratory Phone(214) 597-3113
Laboratory LocationPeculiar Care Wellness Center, LLC1030 S Carrier Pkwy Suite 100, Grand Prairie, TX 75051
CLIA data matches this NPI record on: Address
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 Peculiar Wellness Center LLC's NPI number?

The NPI number for Peculiar Wellness Center LLC is 1306542865. It was assigned to this organization in the NPPES registry on February 6, 2023.

Where is Peculiar Wellness Center LLC located?

Peculiar Wellness Center LLC is located at 1030 S Carrier Pkwy Ste 100, Grand Prairie, TX 75051. The listed phone number is (469) 373-2260.

What is Peculiar Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Peculiar Wellness Center LLC enrolled in Medicare?

Yes. Peculiar Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peculiar Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Peculiar Wellness Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peculiar Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2281527) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peculiar Wellness Center LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Peculiar Wellness Center 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 Peculiar Wellness Center LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.