LAURELLE FAMILY HEALTH & WELLNESS CENTER PLLC
NPI 1497429526
Nurse Practitioner - Family in Bryan, TX

Active since August 03, 2021
2304 DE LEE ST STE 200, BRYAN, TX 77802(979) 431-5800(979) 703-1361 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2026, Aug 3, 2021 (2 updates tracked since 2021).

About Laurelle Family Health & Wellness Center Pllc NPPES

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

LAURELLE FAMILY HEALTH & WELLNESS CENTER PLLC (NPI 1497429526) is a healthcare organization registered as a family in Bryan, Texas and active in the NPI registry since August 2021. The organization lists Catherine Nanyongo Manga, Owner, as its authorized official.

NPPES Registry Identity

NPI1497429526
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAURELLE FAMILY HEALTH & WELLNESS CENTER PLLC
Location Address2304 DE LEE ST STE 200Bryan, TX 77802-2815
Mailing Address2304 De Lee St Ste 200Bryan, TX 77802-2815 · (979) 431-5800 · Fax (979) 703-1361
Fax(979) 703-1361
Organization SubpartNo
Authorized OfficialCatherine Nanyongo MangaOwner · (979) 224-1087
Enumeration DateAugust 3, 2021
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1497429526 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
2304 DE LEE ST STE 200, Bryan, TX 77802

Other Identifiers 1

Medicaid427006801TX

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)

Laurelle Family Health & Wellness Center 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 Laurelle Family Health & Wellness Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1376942391
2304 DE LEE ST STE 200
Bryan, TX 77802
(979) 431-5800
✔ 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 Laurelle Family Health & Wellness Center PLLC's NPI number?

The NPI number for Laurelle Family Health & Wellness Center PLLC is 1497429526. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Laurelle Family Health & Wellness Center PLLC located?

Laurelle Family Health & Wellness Center PLLC is located at 2304 De Lee St Ste 200, Bryan, TX 77802. The listed phone number is (979) 431-5800.

What is Laurelle Family Health & Wellness Center PLLC's specialty?

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

Is Laurelle Family Health & Wellness Center PLLC enrolled in Medicare?

Yes. Laurelle Family Health & Wellness Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laurelle Family Health & Wellness Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Laurelle Family Health & Wellness Center 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.

What insurance does Laurelle Family Health & Wellness Center PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Laurelle Family Health & Wellness Center 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 Laurelle Family Health & Wellness Center PLLC was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.