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

Active since June 16, 2022
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: November 01, 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 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

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 Family Practice 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 Elite Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1639711401
1900 W WALL ST STE B
Midland, TX 79701
(432) 247-1309
✔ PECOS✔ Accepts MedicareSame 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 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.

Is Elite Family Practice LLC enrolled in Medicare?

Yes. Elite Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Family Practice 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 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.