SANGER FAMILY MEDICAL CLINIC PLLC
NPI 1477417392
Nurse Practitioner - Family in Sanger, TX

Active since December 15, 2025CLIA 45D2344710 · Waiver
1000 SABLE AVE, SANGER, TX 76266(940) 302-0006 Get Directions Write a Review

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

Record update history: May 18, 2026, Dec 16, 2025 (2 updates tracked since 2025).

About Sanger Family Medical Clinic Pllc NPPES

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

SANGER FAMILY MEDICAL CLINIC PLLC (NPI 1477417392) is a healthcare organization registered as a family in Sanger, Texas and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Rick Harrison, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1477417392
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSANGER FAMILY MEDICAL CLINIC PLLC
Location Address1000 SABLE AVESanger, TX 76266-3224
Mailing Address1000 Sable AveSanger, TX 76266-3224 · (940) 302-0006
Organization SubpartNo
Authorized OfficialRick HarrisonCredentialing Manager · (732) 743-5910
Enumeration DateDecember 15, 2025
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1477417392 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
1000 SABLE AVE, Sanger, TX 76266

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanger Family Medical Clinic Pllc 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 Sanger Family Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144026246
1000 SABLE AVE
Sanger, TX 76266
(940) 302-0006
✔ 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.

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 45D2344710

Sanger Family Medical Clinic · Sanger, TX
Active · expires May 27, 2028
CLIA Number45D2344710
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorKendall D. Kuykendall
Laboratory Phone(940) 302-0006
Laboratory LocationSanger Family Medical Clinic1000 Sable Avenue, Sanger, TX 76266
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 Sanger Family Medical Clinic PLLC's NPI number?

The NPI number for Sanger Family Medical Clinic PLLC is 1477417392. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Sanger Family Medical Clinic PLLC located?

Sanger Family Medical Clinic PLLC is located at 1000 Sable Ave, Sanger, TX 76266. The listed phone number is (940) 302-0006.

What is Sanger Family Medical Clinic PLLC's specialty?

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

Is Sanger Family Medical Clinic PLLC enrolled in Medicare?

Yes. Sanger Family Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanger Family Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sanger Family Medical Clinic PLLC. 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 Sanger Family Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2344710) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanger Family Medical Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Sanger Family Medical Clinic PLLC 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 Sanger Family Medical Clinic PLLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.