PHENOMENAL HEALTH CARE, PLLC
NPI 1629777966
Clinic/Center - Primary Care in Houston, TX
About Phenomenal Health Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHENOMENAL HEALTH CARE, PLLC (NPI 1629777966) is a healthcare organization registered as a primary care in Houston, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Fuchsia Flint, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Phenomenal Health Care, 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 Phenomenal Health Care, PLLC, 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.
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 45D2290885
Phenomenal Health Care · Houston, TXFrequently 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 Phenomenal Health Care, PLLC's NPI number?
The NPI number for Phenomenal Health Care, PLLC is 1629777966. It was assigned to this organization in the NPPES registry on February 27, 2023.
Where is Phenomenal Health Care, PLLC located?
Phenomenal Health Care, PLLC is located at 17030 Nanes Dr Ste 110, Houston, TX 77090. The listed phone number is (713) 489-2570.
What is Phenomenal Health Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Phenomenal Health Care, PLLC enrolled in Medicare?
Yes. Phenomenal Health Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phenomenal Health Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phenomenal Health Care, 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.
Does Phenomenal Health Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2290885) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Phenomenal Health Care, PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Phenomenal Health Care, 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 Phenomenal Health Care, PLLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.
# Phenomenal Health Care, Pllc · NPI 1629777966
Primary Care organization in Houston, Texas. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1629777966 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Fuchsia Flint, CLINICAL DIRECTOR
## Practice location
- **Address:** 17030 NANES DR STE 110, Houston, TX 77090-2504
- **Phone:** (713) 489-2570
## 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:** September 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629777966) · Data from the CMS NPPES public registry.