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PEDIATRIC KARE KLINIC PLLC
NPI 1609348580
Clinic/Center - Primary Care in Forney, TX

Active since December 17, 2018
104 E US HIGHWAY 80 STE 190, FORNEY, TX 75126(469) 602-5277(469) 995-7898 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 12, 2020, Sep 13, 2019, Dec 17, 2018 (3 updates tracked since 2018).

About Pediatric Kare Klinic Pllc NPPES

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

PEDIATRIC KARE KLINIC PLLC (NPI 1609348580) is a healthcare organization registered as a primary care in Forney, Texas and active in the NPI registry since December 2018. The organization lists Deloris Renee Harwell, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1609348580
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC KARE KLINIC PLLC
Location Address104 E US HIGHWAY 80 STE 190Forney, TX 75126-8615
Mailing Address104 E Us Highway 80 Ste 190Forney, TX 75126-8615 · (469) 602-5277 · Fax (469) 995-7898
Phone(469) 602-5277
Fax(469) 995-7898
Organization SubpartNo
Authorized OfficialDeloris Renee HarwellPediatric Nurse Practitioner · (469) 602-5277
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 12, 20203 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1609348580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
104 E US HIGHWAY 80 STE 190, Forney, TX 75126
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Other Identifiers 2

Medicaid407416301TX
Other407416302TX · Texas Health Steps

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Pediatric Kare Klinic 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 Pediatric Kare Klinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deloris Harwell, PNP-PC
Nurse Practitioner
NPI 1346478252
104 E US HIGHWAY 80 STE 190
Forney, TX 75126
(469) 602-5277
✔ PECOSSame 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 Pediatric Kare Klinic PLLC's NPI number?

The NPI number for Pediatric Kare Klinic PLLC is 1609348580. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Pediatric Kare Klinic PLLC located?

Pediatric Kare Klinic PLLC is located at 104 E Us Highway 80 Ste 190, Forney, TX 75126. The listed phone number is (469) 602-5277.

What is Pediatric Kare Klinic PLLC's specialty?

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

Is Pediatric Kare Klinic PLLC enrolled in Medicare?

Yes. Pediatric Kare Klinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Kare Klinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pediatric Kare Klinic 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 Pediatric Kare Klinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Pediatric Kare Klinic 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 Pediatric Kare Klinic PLLC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.