DALLAS HEALTH AND WELLNESS CLINIC PLLC
NPI 1366108151
Nurse Practitioner - Family in Dallas, TX

Active since November 16, 2021CLIA 45D2245873 · Waiver
9304 FOREST LN STE N177, DALLAS, TX 75243(214) 713-8228 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Dec 30, 2021, Dec 2, 2021 and 1 more (4 updates tracked since 2021).

About Dallas Health And Wellness Clinic Pllc NPPES

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

DALLAS HEALTH AND WELLNESS CLINIC PLLC (NPI 1366108151) is a healthcare organization registered as a family in Dallas, Texas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists Evelyn Okunoghae, Owner, as its authorized official.

NPPES Registry Identity

NPI1366108151
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDALLAS HEALTH AND WELLNESS CLINIC PLLC
Location Address9304 FOREST LN STE N177Dallas, TX 75243-6238
Mailing Address9304 Forest Ln Ste N177Dallas, TX 75243-6238 · (469) 251-8772 · Fax (937) 975-0014
Organization SubpartNo
Authorized OfficialEvelyn OkunoghaeOwner · (469) 251-8772
Enumeration DateNovember 16, 2021
Last NPPES UpdateMarch 31, 20264 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1366108151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
9304 FOREST LN STE N177, Dallas, TX 75243

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)

Dallas Health And Wellness Clinic 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 Dallas Health And Wellness Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609187970
9304 FOREST LN STE N177
Dallas, TX 75243
(214) 713-8228
✔ 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 45D2245873

Dallas Health & Wellness Clinic · Dallas, TX
Active · expires Dec 16, 2027
CLIA Number45D2245873
Laboratory TypePractitioner Other
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorEvelyn Okunoghae
Laboratory Phone(214) 713-8228
Laboratory LocationDallas Health & Wellness Clinic9304 Forest Ln Suite N177, Dallas, TX 75243
CLIA data matches this NPI record on: Address Phone
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 Dallas Health And Wellness Clinic PLLC's NPI number?

The NPI number for Dallas Health And Wellness Clinic PLLC is 1366108151. It was assigned to this organization in the NPPES registry on November 16, 2021.

Where is Dallas Health And Wellness Clinic PLLC located?

Dallas Health And Wellness Clinic PLLC is located at 9304 Forest Ln Ste N177, Dallas, TX 75243. The listed phone number is (214) 713-8228.

What is Dallas Health And Wellness Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dallas Health And Wellness Clinic PLLC enrolled in Medicare?

Yes. Dallas Health And Wellness Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dallas Health And Wellness Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dallas Health And Wellness Clinic 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 Dallas Health And Wellness Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2245873) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dallas Health And Wellness Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Dallas Health And Wellness Clinic PLLC 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 Dallas Health And Wellness Clinic PLLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.