EL SHADDAI FAMILY CLINIC LLC
NPI 1447680178
Nurse Practitioner - Family in Mckinney, TX

Active since November 15, 2013
1740 W VIRGINIA ST STE 400, MCKINNEY, TX 75069(469) 252-0101 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About El Shaddai Family Clinic Llc NPPES

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

EL SHADDAI FAMILY CLINIC LLC (NPI 1447680178) is a healthcare organization registered as a family in Mckinney, Texas and active in the NPI registry since November 2013. The organization lists Beena Paul, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1447680178
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEL SHADDAI FAMILY CLINIC LLC
Location Address1740 W VIRGINIA ST STE 400Mckinney, TX 75069-7864
Mailing Address1740 W Virginia St Ste 400Mckinney, TX 75069-7864 · (469) 252-0101
Organization SubpartNo
Authorized OfficialBeena PaulNurse Practitioner · (469) 252-0101
Enumeration DateNovember 15, 2013
Last NPPES UpdateJuly 25, 2019
✔ NPI 1447680178 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 · 733997
1740 W VIRGINIA ST STE 400, Mckinney, TX 75069

Other Identifiers 1

Other1568773893TX · Individual Npi

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)

El Shaddai Family Clinic 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 El Shaddai Family Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1568773893
1740 W VIRGINIA ST STE 400
Mckinney, TX 75069
(469) 252-0101
✔ 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.

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 El Shaddai Family Clinic LLC's NPI number?

The NPI number for El Shaddai Family Clinic LLC is 1447680178. It was assigned to this organization in the NPPES registry on November 15, 2013.

Where is El Shaddai Family Clinic LLC located?

El Shaddai Family Clinic LLC is located at 1740 W Virginia St Ste 400, Mckinney, TX 75069. The listed phone number is (469) 252-0101.

What is El Shaddai Family Clinic LLC's specialty?

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

Is El Shaddai Family Clinic LLC enrolled in Medicare?

Yes. El Shaddai Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through El Shaddai Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to El Shaddai Family Clinic 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.

When was this NPI record last updated?

The NPPES record for El Shaddai Family Clinic LLC was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.