ELITE FAMILY PRACTICE LLC
NPI 1629708151
Nurse Practitioner - Family in Midland, TX

Active since June 16, 2022CLIA 45D2264154 · Waiver
1900 W WALL ST STE B, MIDLAND, TX 79701(432) 247-1309(432) 247-1250 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Family Practice Llc NPPES

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

ELITE FAMILY PRACTICE LLC (NPI 1629708151) is a healthcare organization registered as a family in Midland, Texas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Erin Nicole Mann, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1629708151
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE FAMILY PRACTICE LLC
Location Address1900 W WALL ST STE BMidland, TX 79701-6568
Mailing Address1900 W Wall St Ste BMidland, TX 79701-6568
Fax(432) 247-1250
Organization SubpartNo
Authorized OfficialErin Nicole MannFnp/owner · (432) 247-1309
Enumeration DateJune 16, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1629708151 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
1900 W WALL ST STE B, Midland, TX 79701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 45D2264154

Elite Family Practice,llc · Midland, TX
Active · expires Jul 10, 2028
CLIA Number45D2264154
Laboratory TypePractitioner Other
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorRicky Hamby
Laboratory Phone(432) 247-1309
Laboratory LocationElite Family Practice,llc1900 W Wall Street, Suite B, Midland, TX 79701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1900 W WALL ST STE B
MIDLAND, TX 79701

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 Family Practice LLC's NPI number?

The NPI number for Elite Family Practice LLC is 1629708151. It was assigned to this organization in the NPPES registry on June 16, 2022.

Where is Elite Family Practice LLC located?

Elite Family Practice LLC is located at 1900 W Wall St Ste B, Midland, TX 79701. The listed phone number is (432) 247-1309.

What is Elite Family Practice LLC's specialty?

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

Does Elite Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2264154) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Family Practice LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Elite Family Practice 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 Elite Family Practice LLC was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.