ALLEN FELLERS
NPI 1417717158
Student in an Organized Health Care Education/Training Program in Conroe, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 20, 2024PECOS Enrolled

605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004(936) 539-3635 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 19, 2026, Jun 18, 2024 (2 updates tracked since 2024).

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About Allen Fellers NPPES

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

ALLEN FELLERS (NPI 1417717158) is an individual student in an organized health care education/training program in Conroe, Texas, licensed in Texas (BP10090258) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417717158

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALLEN FELLERS

Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722

Mailing Address605 S Conroe Medical DrConroe, TX 77304-4722 · (936) 539-4004 · Fax (936) 539-3635

Phone(936) 539-4004

Fax(936) 539-3635

Sole ProprietorNo

Enumeration DateMarch 20, 2024

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1417717158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · BP10090258

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License W0900 (TX)

605 S CONROE MEDICAL DR, Conroe, TX 77304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen Fellers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.