WILLOW WELLNESS CENTER, P.A.
NPI 1346346335
Internal Medicine in Tyler, TX
About Willow Wellness Center, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW WELLNESS CENTER, P.A. (NPI 1346346335) is a healthcare organization registered as an internal medicine in Tyler, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Angela Nell Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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)
Willow Wellness Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Willow Wellness Center, P.A., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 45D0982256
Willow Wellness Center PA · Tyler, 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 Willow Wellness Center, P.A.'s NPI number?
The NPI number for Willow Wellness Center, P.A. is 1346346335. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is Willow Wellness Center, P.A. located?
Willow Wellness Center, P.A. is located at 820 E Front St, Tyler, TX 75702. The listed phone number is (903) 596-0602.
What is Willow Wellness Center, P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Willow Wellness Center, P.A. enrolled in Medicare?
Yes. Willow Wellness Center, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Wellness Center, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Willow Wellness Center, P.A., in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Willow Wellness Center, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0982256) is associated with this NPI, valid through January 21, 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 Willow Wellness Center, P.A. was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Willow Wellness Center, P.a. · NPI 1346346335
Internal Medicine organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1346346335 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Angela Smith, PRESIDENT
## Practice location
- **Address:** 820 E FRONT ST, Tyler, TX 75702-8326
- **Phone:** (903) 596-0602 · **Fax:** (903) 596-0620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2011
- **Other identifiers:** Medicare UPIN H13098 (TX); Medicaid 031016101 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346346335) · Data from the CMS NPPES public registry.