VAN FAMILY MEDICAL
NPI 1386306108
Nurse Practitioner - Family in Van, TX

Active since October 08, 2021CLIA 45D2241365 · Waiver
488 W MAIN ST, STE 101, VAN, TX 75790(903) 963-6850 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, Oct 8, 2021 (2 updates tracked since 2021).

About Van Family Medical NPPES

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

VAN FAMILY MEDICAL (NPI 1386306108) is a healthcare organization registered as a family in Van, Texas and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Loretta Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1386306108
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVAN FAMILY MEDICAL
Location Address488 W MAIN ST, STE 101Van, TX 75790-2608
Mailing Address488 W Main St, Ste 101Van, TX 75790-2608 · (903) 963-6850
Organization SubpartNo
Authorized OfficialLoretta WilsonOwner · (903) 515-0690
Enumeration DateOctober 8, 2021
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1386306108 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
488 W MAIN ST, Van, TX 75790

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

Accepted Insurance

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 45D2241365

Van Family Medical, PLLC · Van, TX
Active · expires Oct 26, 2027
CLIA Number45D2241365
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorLoretta Wilson
Laboratory Phone(903) 963-6850
Laboratory LocationVan Family Medical, PLLC488 W Main Ste 101, Van, TX 75790
CLIA data matches this NPI record on: Address Name 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 Van Family Medical's NPI number?

The NPI number for Van Family Medical is 1386306108. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Van Family Medical located?

Van Family Medical is located at 488 W Main St Ste 101, Van, TX 75790. The listed phone number is (903) 963-6850.

What is Van Family Medical's specialty?

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

Does Van Family Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2241365) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Van Family Medical accept?

Health plans from Blue Cross and Blue Shield of Texas list Van Family Medical 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 Van Family Medical was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.