MED ONE HEALTH CLINIC, LLC
NPI 1609681345
Nurse Practitioner - Primary Care in Haughton, LA
About Med One Health Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MED ONE HEALTH CLINIC, LLC (NPI 1609681345) is a healthcare organization registered as a primary care in Haughton, Louisiana and active in the NPI registry since February 2025. The organization lists Latrisala Bankston, 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)
Med One Health Clinic, Llc 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 Med One Health Clinic, LLC, 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 Med One Health Clinic, LLC's NPI number?
The NPI number for Med One Health Clinic, LLC is 1609681345. It was assigned to this organization in the NPPES registry on February 10, 2025.
Where is Med One Health Clinic, LLC located?
Med One Health Clinic, LLC is located at 349 Dogwood South Ln, Haughton, LA 71037. The listed phone number is (832) 870-8375.
What is Med One Health Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Med One Health Clinic, LLC enrolled in Medicare?
Yes. Med One Health Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Med One Health Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Med One Health Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Med One Health Clinic, LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Med One Health Clinic, 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 Med One Health Clinic, LLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Med One Health Clinic, Llc · NPI 1609681345
Primary Care organization in Haughton, Louisiana. Organization record, active in the CMS NPPES registry since February 10, 2025.
## Identity
- **NPI:** 1609681345 (Entity type: Organization)
- **Enumerated:** February 10, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Latrisala Bankston, OWNER
## Practice location
- **Address:** 349 DOGWOOD SOUTH LN, Haughton, LA 71037-8511
- **Phone:** (832) 870-8375
## 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:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609681345) · Data from the CMS NPPES public registry.