SHINEMED PRIMARY CARE PLLC
NPI 1306576087
Nurse Practitioner - Family in Katy, TX
About Shinemed Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINEMED PRIMARY CARE PLLC (NPI 1306576087) is a healthcare organization registered as a family in Katy, Texas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Eunyoung Lee, Family Nurse Practitioner /owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shinemed 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 Shinemed 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.
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 45D2263976
Shinemed Primary Care PLLC · Katy, 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 Shinemed Primary Care PLLC's NPI number?
The NPI number for Shinemed Primary Care PLLC is 1306576087. It was assigned to this organization in the NPPES registry on June 14, 2022.
Where is Shinemed Primary Care PLLC located?
Shinemed Primary Care PLLC is located at 440 Cobia Dr Ste 101, Katy, TX 77494. The listed phone number is (346) 338-9360.
What is Shinemed Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shinemed Primary Care PLLC enrolled in Medicare?
Yes. Shinemed Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shinemed Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shinemed 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.
Does Shinemed Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2263976) is associated with this NPI, valid through July 6, 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 Shinemed Primary Care PLLC was last updated on December 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shinemed Primary Care Pllc · NPI 1306576087
Family organization in Katy, Texas. Organization record, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1306576087 (Entity type: Organization)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Eunyoung Lee, FAMILY NURSE PRACTITIONER /OWNER
## Practice location
- **Address:** 440 COBIA DR STE 101, Katy, TX 77494-6891
- **Phone:** (346) 338-9360 · **Fax:** (346) 338-9370
## 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:** December 25, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306576087) · Data from the CMS NPPES public registry.