NACOGDOCHES MEMORIAL PROFESSIONAL GROUP
NPI 1316616550
Family Medicine in Nacogdoches, TX
About Nacogdoches Memorial Professional Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NACOGDOCHES MEMORIAL PROFESSIONAL GROUP (NPI 1316616550) is a healthcare organization registered as a family medicine in Nacogdoches, Texas and active in the NPI registry since September 2021. The organization lists Matthew Malloy, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Group Practice 1
Accepted Insurance
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)
Nacogdoches Memorial Professional Group 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
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Nacogdoches Memorial Professional Group, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lion Star Nacogdoches Hospital, LLC's NPI number?
The NPI number for Lion Star Nacogdoches Hospital, LLC is 1316616550. It was assigned to this organization in the NPPES registry on September 10, 2021. The provider is doing business as Nacogdoches Memorial Professional Group.
Where is Lion Star Nacogdoches Hospital, LLC located?
Lion Star Nacogdoches Hospital, LLC is located at 1204 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 568-8427.
What is Lion Star Nacogdoches Hospital, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lion Star Nacogdoches Hospital, LLC enrolled in Medicare?
Yes. Lion Star Nacogdoches Hospital, LLC is registered in the Medicare PECOS enrollment system.
When is Lion Star Nacogdoches Hospital, LLC'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 Lion Star Nacogdoches Hospital, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to Lion Star Nacogdoches Hospital, 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. The largest specialties are Nurse Practitioner (4), Hospitalist (3) and Internal Medicine (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lion Star Nacogdoches Hospital, LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Lion Star Nacogdoches Hospital, 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 Lion Star Nacogdoches Hospital, LLC was last updated on August 16, 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.
# Nacogdoches Memorial Professional Group · NPI 1316616550
Family Medicine organization in Nacogdoches, Texas. Organization record, active in the CMS NPPES registry since September 10, 2021.
## Identity
- **NPI:** 1316616550 (Entity type: Organization)
- **Enumerated:** September 10, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Lion Star Nacogdoches Hospital, Llc
- **Organization subpart:** Yes (part of Lion Star Nacogdoches Hospital, Llc)
- **Authorized official:** Matthew Malloy, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 1204 N MOUND ST, Nacogdoches, TX 75961-4027
- **Phone:** (936) 568-8427
## 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:** 14 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Hospitalist (3), Internal Medicine (3); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316616550) · Data from the CMS NPPES public registry.