CREEKSIDE FAMILY PRACTICE
NPI 1487237954
Clinic/Center - Primary Care in Salado, TX

Active since May 03, 2021CLIA 45D2228215 · Waiver
1313 N STAGECOACH RD, SALADO, TX 76571(254) 346-4029(847) 221-6940 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2022, Feb 1, 2022, Jun 10, 2021 and 1 more (4 updates tracked since 2021).

About Creekside Family Practice NPPES

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

CREEKSIDE FAMILY PRACTICE (NPI 1487237954) is a healthcare organization registered as a primary care in Salado, Texas and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 22, 2027, maintains a secondary practice location in Temple, and lists Jennifer D Istre, Owner, as its authorized official.

NPPES Registry Identity

NPI1487237954
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJD ISTRE, LLC
Location Address1313 N STAGECOACH RDSalado, TX 76571-5613
Mailing Address112 N Main StSalado, TX 76571-6454 · (254) 346-4029 · Fax (847) 221-6940
Fax(847) 221-6940
Organization SubpartNo
Authorized OfficialJennifer D IstreOwner · (254) 346-4029
Enumeration DateMay 3, 2021
Last NPPES UpdateFebruary 16, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1487237954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1313 N STAGECOACH RD, Salado, TX 76571

Other Names 1

Doing Business AsCreekside Family Practice

Secondary Practice Location 1

Location 1210 E Avenue J Bldg 1Temple, TX 76504-5892 · Phone (254) 346-4029

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)

Creekside Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Creekside Family Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1942836978
1313 N STAGECOACH RD
Salado, TX 76571
(254) 346-4029
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932496692
1313 N STAGECOACH RD
Salado, TX 76571
(254) 246-4029
✔ 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 45D2228215

Creekside Family Practice · Salado, TX
Active · expires Jun 22, 2027
CLIA Number45D2228215
Laboratory TypePractitioner Other
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorJennifer Istre
Laboratory Phone(254) 290-4532
Laboratory LocationCreekside Family Practice1313 N Stagecoach Rd # 1362, Salado, TX 76571
CLIA data matches this NPI record on: Address Name
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 Jd Istre, LLC's NPI number?

The NPI number for Jd Istre, LLC is 1487237954. It was assigned to this organization in the NPPES registry on May 3, 2021. The provider is doing business as Creekside Family Practice.

Where is Jd Istre, LLC located?

Jd Istre, LLC is located at 1313 N Stagecoach Rd, Salado, TX 76571. The listed phone number is (254) 346-4029.

What is Jd Istre, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jd Istre, LLC enrolled in Medicare?

Yes. Jd Istre, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jd Istre, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jd Istre, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jd Istre, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2228215) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jd Istre, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Jd Istre, LLC 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 Jd Istre, LLC was last updated on February 16, 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.