ELITE WELLNESS CLINIC PLLC
NPI 1508692625
Nurse Practitioner - Family in Desoto, TX
About Elite Wellness Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE WELLNESS CLINIC PLLC (NPI 1508692625) is a healthcare organization registered as a family in Desoto, Texas and active in the NPI registry since September 2024. The organization lists Folake-tolani Catherine Iheanacho, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Elite Wellness 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 Elite Wellness Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Elite Wellness Clinic PLLC's NPI number?
The NPI number for Elite Wellness Clinic PLLC is 1508692625. It was assigned to this organization in the NPPES registry on September 13, 2024.
Where is Elite Wellness Clinic PLLC located?
Elite Wellness Clinic PLLC is located at 104 Lion St Ste C, Desoto, TX 75115. The listed phone number is (972) 217-0881.
What is Elite Wellness Clinic PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elite Wellness Clinic PLLC enrolled in Medicare?
Yes. Elite Wellness Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Wellness Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Wellness 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.
What insurance does Elite Wellness Clinic PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Elite Wellness 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 Elite Wellness Clinic PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Elite Wellness Clinic Pllc · NPI 1508692625
Family organization in Desoto, Texas. Organization record, active in the CMS NPPES registry since September 13, 2024.
## Identity
- **NPI:** 1508692625 (Entity type: Organization)
- **Enumerated:** September 13, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Folake-Tolani Iheanacho, OWNER
## Practice location
- **Address:** 104 LION ST STE C, Desoto, TX 75115-5071
- **Phone:** (972) 217-0881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1508692625) · Data from the CMS NPPES public registry.