830 WELLNESS, LLC
NPI 1649972043
Clinic/Center - Primary Care in Kerrville, TX
About 830 Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
830 WELLNESS, LLC (NPI 1649972043) is a healthcare organization registered as a primary care in Kerrville, Texas and active in the NPI registry since March 2023. The organization lists Lacy Mcmillon, Owner, 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)
830 Wellness, 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 830 Wellness, 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 830 Wellness, LLC's NPI number?
The NPI number for 830 Wellness, LLC is 1649972043. It was assigned to this organization in the NPPES registry on March 20, 2023.
Where is 830 Wellness, LLC located?
830 Wellness, LLC is located at 2210 Bandera Hwy Ste C-2, Kerrville, TX 78028. The listed phone number is (903) 576-5677.
What is 830 Wellness, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is 830 Wellness, LLC enrolled in Medicare?
Yes. 830 Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 830 Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 830 Wellness, 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 830 Wellness, LLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list 830 Wellness, 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 830 Wellness, LLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# 830 Wellness, Llc · NPI 1649972043
Primary Care organization in Kerrville, Texas. Organization record, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1649972043 (Entity type: Organization)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Lacy Mcmillon, OWNER
## Practice location
- **Address:** 2210 BANDERA HWY STE C-2, Kerrville, TX 78028-6609
- **Phone:** (903) 576-5677
## 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:** March 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649972043) · Data from the CMS NPPES public registry.