RONALD BACANI PRIMARY CARE CLINIC AND URGENT CARE, LLC
NPI 1366697864
Nurse Practitioner - Family in Odessa, TX

Active since November 25, 2008CLIA 45D1099712 · Waiver
621 NORTH WAHINGTON ST., ODESSA, TX 79761(432) 332-0728 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ronald Bacani Primary Care Clinic And Urgent Care, Llc NPPES

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

RONALD BACANI PRIMARY CARE CLINIC AND URGENT CARE, LLC (NPI 1366697864) is a healthcare organization registered as a family in Odessa, Texas and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Ronald Castro Bacani, Fnp/primary Care Provider, as its authorized official.

NPPES Registry Identity

NPI1366697864
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRONALD BACANI PRIMARY CARE CLINIC AND URGENT CARE, LLC
Location Address621 NORTH WAHINGTON ST.Odessa, TX 79761-5034
Mailing AddressPo Box 3186Odessa, TX 79760-3186 · (432) 332-0728
Organization SubpartNo
Authorized OfficialRonald Castro BacaniFnp/primary Care Provider · (432) 332-0728
Enumeration DateNovember 25, 2008
Last NPPES UpdateApril 9, 2009
✔ NPI 1366697864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 639134
621 NORTH WAHINGTON ST., Odessa, TX 79761

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald Bacani Primary Care Clinic And Urgent Care, Llc 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 Ronald Bacani Primary Care Clinic And Urgent Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588736706
540 W 5TH ST SUITE 310
Odessa, TX 79761
(432) 580-3775
✔ PECOS✔ Accepts Medicare0.1 mi

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 45D1099712

Ronald C Bacani Primary Care Clinic & Urgent Care · Odessa, TX
Active · expires May 19, 2027
CLIA Number45D1099712
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorRonald C. Bacani
Laboratory Phone(432) 332-0728
Laboratory LocationRonald C Bacani Primary Care Clinic & Urgent Care511 West 8th St Suite 200, Odessa, TX 79761
CLIA data matches this NPI record on: 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 Ronald Bacani Primary Care Clinic And Urgent Care, LLC's NPI number?

The NPI number for Ronald Bacani Primary Care Clinic And Urgent Care, LLC is 1366697864. It was assigned to this organization in the NPPES registry on November 25, 2008.

Where is Ronald Bacani Primary Care Clinic And Urgent Care, LLC located?

Ronald Bacani Primary Care Clinic And Urgent Care, LLC is located at 621 North Wahington St., Odessa, TX 79761. The listed phone number is (432) 332-0728.

What is Ronald Bacani Primary Care Clinic And Urgent Care, LLC's specialty?

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

Is Ronald Bacani Primary Care Clinic And Urgent Care, LLC enrolled in Medicare?

Yes. Ronald Bacani Primary Care Clinic And Urgent Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ronald Bacani Primary Care Clinic And Urgent Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ronald Bacani Primary Care Clinic And Urgent Care, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ronald Bacani Primary Care Clinic And Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1099712) is associated with this NPI, valid through May 19, 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 Ronald Bacani Primary Care Clinic And Urgent Care, LLC was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.