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CONROE WILLIS FAMILY MEDICINE, PLLC
NPI 1508249798
Family Medicine in Conroe, TX

Active since July 07, 2015CLIA 45D2105488 · Accreditation
4015 I 45 N STE 220, CONROE, TX 77304(936) 441-1122(936) 788-9151 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, Dec 17, 2018, Nov 17, 2015 (3 updates tracked since 2015).

About Conroe Willis Family Medicine, Pllc NPPES

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

CONROE WILLIS FAMILY MEDICINE, PLLC (NPI 1508249798) is a healthcare organization registered as a family medicine in Conroe, Texas and active in the NPI registry since July 2015. The organization holds an CLIA Accreditation certificate valid through August 27, 2027, maintains a secondary practice location in Willis, and lists Robert Jeremy Laningham, Physician/ Co-owner, as its authorized official.

NPPES Registry Identity

NPI1508249798
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONROE WILLIS FAMILY MEDICINE, PLLC
Location Address4015 I 45 N STE 220Conroe, TX 77304-5076
Mailing Address4015 I 45 N Ste 220Conroe, TX 77304-5076 · (936) 441-1122 · Fax (936) 788-9151
Phone(936) 441-1122
Fax(936) 788-9151
Organization SubpartNo
Authorized OfficialRobert Jeremy LaninghamPhysician/ Co-owner · (936) 441-1122
Enumeration DateJuly 7, 2015
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1508249798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4015 I 45 N STE 220, Conroe, TX 77304
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Secondary Practice Location 1

Location 19851 Fm 1097 Rd W Ste 120Willis, TX 77318-5852 · Phone (936) 890-8000 · Fax (936) 890-9000

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)

Conroe Willis Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Conroe Willis Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Simi Koshy, MD
Family Practice
NPI 1346533841
4015 I H 45 N STE 220
Conroe, TX 77304
(936) 441-1122
✔ PECOS✔ Accepts MedicareSame address
Jennifer Moore, FNP
Nurse Practitioner
NPI 1255977344
4015 I H 45 N STE 220
Conroe, TX 77304
(936) 441-1122
✔ PECOS✔ Accepts MedicareSame address
Robert Laningham, MD
Family Practice
NPI 1700973682
4015 INTERSTATE 45 N STE 220
Conroe, TX 77304
(936) 441-1122
✔ PECOS✔ Accepts Medicare1.3 mi
Rodney Laningham, MD
Family Practice
NPI 1821185703
4015 INTERSTATE 45 N
Conroe, TX 77304
(936) 756-6631
✔ PECOS✔ Accepts Medicare1.3 mi
Stephanie Spencer, FNP-C
Nurse Practitioner
NPI 1336005289
4015 I 45 N STE 220
Conroe, TX 77304
(936) 441-1122
✔ PECOS2.2 mi
Kari Hunt, RN, MSN FNP-C
Nurse Practitioner
NPI 1588012645
9851 FM 1097 RD W STE 120
Willis, TX 77318
(936) 890-8000
✔ PECOS✔ Accepts Medicare4.8 mi
Ariel Miller
Nurse Practitioner
NPI 1790653988
9581 FM 1097 SUITE 120
Willis, TX 77318
(936) 890-8000
✔ PECOS✔ Accepts Medicare4.8 mi

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 Accreditation 45D2105488

Conroe Willis Family Medicine PLLC · Conroe, TX
Active · expires Aug 27, 2027
CLIA Number45D2105488
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDr. Robert J. Laningham
Laboratory Phone(936) 441-1122
Laboratory LocationConroe Willis Family Medicine PLLC4015 I45 Ste 220, Conroe, TX 77304
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Conroe Willis Family Medicine, PLLC's NPI number?

The NPI number for Conroe Willis Family Medicine, PLLC is 1508249798. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Conroe Willis Family Medicine, PLLC located?

Conroe Willis Family Medicine, PLLC is located at 4015 I 45 N Ste 220, Conroe, TX 77304. The listed phone number is (936) 441-1122.

What is Conroe Willis Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Conroe Willis Family Medicine, PLLC enrolled in Medicare?

Yes. Conroe Willis Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conroe Willis Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Conroe Willis Family Medicine, 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. The largest specialties are Nurse Practitioner (4) and Family Practice (3). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Conroe Willis Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2105488) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conroe Willis Family Medicine, PLLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.