MINERAL WELLS WOMEN'S PAVILION, P.A.
NPI 1407070758
Obstetrics & Gynecology in Mineral Wells, TX
About Mineral Wells Women's Pavilion, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINERAL WELLS WOMEN'S PAVILION, P.A. (NPI 1407070758) is a healthcare organization registered as an obstetrics & gynecology in Mineral Wells, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Tim Robert Tarkenton, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Mineral Wells Women's Pavilion, P.a. 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 Mineral Wells Women's Pavilion, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 45D0712217
Mineral Wells Women's Pavilion PA · Mineral Wells, 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 Mineral Wells Women's Pavilion, P.A.'s NPI number?
The NPI number for Mineral Wells Women's Pavilion, P.A. is 1407070758. It was assigned to this organization in the NPPES registry on April 11, 2007.
Where is Mineral Wells Women's Pavilion, P.A. located?
Mineral Wells Women's Pavilion, P.A. is located at 220 SW 26th Avenue, Mineral Wells, TX 76067. The listed phone number is (940) 328-1261.
What is Mineral Wells Women's Pavilion, P.A.'s specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Mineral Wells Women's Pavilion, P.A. enrolled in Medicare?
Yes. Mineral Wells Women's Pavilion, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mineral Wells Women's Pavilion, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Mineral Wells Women's Pavilion, P.A.. 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 Mineral Wells Women's Pavilion, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0712217) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mineral Wells Women's Pavilion, P.A. accept?
Health plans from Molina Healthcare list Mineral Wells Women's Pavilion, P.A. 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 Mineral Wells Women's Pavilion, P.A. was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mineral Wells Women's Pavilion, P.a. · NPI 1407070758
Obstetrics & Gynecology organization in Mineral Wells, Texas. Organization record, active in the CMS NPPES registry since April 11, 2007.
## Identity
- **NPI:** 1407070758 (Entity type: Organization)
- **Enumerated:** April 11, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Tim Tarkenton, PHYSICIAN/OWNER
## Practice location
- **Address:** 220 SW 26TH AVENUE, Mineral Wells, TX 76067
- **Phone:** (940) 328-1261
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid 123030201 (TX); Other 10020986 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407070758) · Data from the CMS NPPES public registry.