AFFINITY FAMILY HEALTH, PLLC
NPI 1629468087
Nurse Practitioner - Family in Cisco, TX

Active since January 23, 2015CLIA 45D2098151 · Waiver
707 CONRAD HILTON BLVD, CISCO, TX 76437(913) 709-9098 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Affinity Family Health, Pllc NPPES

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

AFFINITY FAMILY HEALTH, PLLC (NPI 1629468087) is a healthcare organization registered as a family in Cisco, Texas and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Jacqueline Belk, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1629468087
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAFFINITY FAMILY HEALTH, PLLC
Location Address707 CONRAD HILTON BLVDCisco, TX 76437-3139
Mailing Address707 Conrad Hilton BlvdCisco, TX 76437-3139
Organization SubpartNo
Authorized OfficialJacqueline BelkManaging Member · (254) 488-4865
Enumeration DateJanuary 23, 2015
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1629468087 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
License✔ Licensed in TX · AP127254
707 CONRAD HILTON BLVD, Cisco, TX 76437

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)

Affinity Family Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Affinity Family Health, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1821487604
707 CONRAD HILTON BLVD
Cisco, TX 76437
(254) 761-5909
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659739969
707 CONRAD HILTON BLVD
Cisco, TX 76437
(544) 884-8652
✔ PECOSSame address
Emergency Medicine
NPI 1063738474
1120 FIREWHEEL PL
Mckinney, TX 75069
(469) 952-8052
✔ PECOS148 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 Waiver 45D2098151

Affinity Family Health, PLLC · Cisco, TX
Active · expires Jun 30, 2027
CLIA Number45D2098151
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorNicolas Atudonyang
Laboratory Phone(254) 488-4865
Laboratory LocationAffinity Family Health, PLLC707 Conrad Hilton Blvd, Cisco, TX 76437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Affinity Family Health, PLLC's NPI number?

The NPI number for Affinity Family Health, PLLC is 1629468087. It was assigned to this organization in the NPPES registry on January 23, 2015.

Where is Affinity Family Health, PLLC located?

Affinity Family Health, PLLC is located at 707 Conrad Hilton Blvd, Cisco, TX 76437. The listed phone number is (913) 709-9098.

What is Affinity Family Health, PLLC's specialty?

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

Is Affinity Family Health, PLLC enrolled in Medicare?

Yes. Affinity Family Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affinity Family Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Affinity Family Health, PLLC, in Emergency Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Affinity Family Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2098151) is associated with this NPI, valid through June 30, 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 Affinity Family Health, PLLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.