COMPLETE HEALTH CARE
NPI 1316610017
Nurse Practitioner - Family in Port Arthur, TX
About Complete Health Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPLETE HEALTH CARE (NPI 1316610017) is a healthcare organization registered as a family in Port Arthur, Texas and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Connie D Johnson-wiltz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Complete Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Complete Health Care, 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 45D2234681
Complete Health Care Clinic · Port Arthur, 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 Complete Health Care's NPI number?
The NPI number for Complete Health Care is 1316610017. It was assigned to this organization in the NPPES registry on July 28, 2021.
Where is Complete Health Care located?
Complete Health Care is located at 2933 Park Plaza Ln, Port Arthur, TX 77642. The listed phone number is (409) 983-1899.
What is Complete Health Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Complete Health Care enrolled in Medicare?
Yes. Complete Health Care is registered in the Medicare PECOS enrollment system.
When is Complete Health Care's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Complete Health Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Complete Health Care. 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 Complete Health Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2234681) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Complete Health Care was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Complete Health Care · NPI 1316610017
Family organization in Port Arthur, Texas. Organization record, active in the CMS NPPES registry since July 28, 2021.
## Identity
- **NPI:** 1316610017 (Entity type: Organization)
- **Enumerated:** July 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Connie Johnson-Wiltz, OWNER
## Practice location
- **Address:** 2933 PARK PLAZA LN, Port Arthur, TX 77642-5516
- **Phone:** (409) 983-1899 · **Fax:** (409) 300-4310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** October 3, 2023
- **Other identifiers:** Medicaid 1316610017 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316610017) · Data from the CMS NPPES public registry.