INSTACLINIC, LLC
NPI 1659978401
Clinic/Center in Dallas, TX

Active since October 05, 2020
7008 QUARTERMILE LN, DALLAS, TX 75248(307) 256-8556 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 21, 2022, Oct 5, 2020 (2 updates tracked since 2020).

About Instaclinic, Llc NPPES

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

INSTACLINIC, LLC (NPI 1659978401) is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since October 2020. The organization lists Amy R Surdam, Coo, as its authorized official.

NPPES Registry Identity

NPI1659978401
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINSTACLINIC, LLC
Location Address7008 QUARTERMILE LNDallas, TX 75248-1448
Mailing AddressPo Box 1142Cheyenne, WY 82003-1142 · (307) 421-7277
Organization SubpartNo
Authorized OfficialAmy R SurdamCoo · (307) 421-7277
Enumeration DateOctober 5, 2020
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1659978401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7008 QUARTERMILE LN, Dallas, TX 75248

Other Identifiers 1

Other1659978401Npi

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Instaclinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20201214001944Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Instaclinic, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1629099312
433 E 19TH ST
Cheyenne, WY 82001
(307) 635-5393
✔ PECOS716 mi
Emergency Medicine
NPI 1184697666
214 E 23RD ST
Cheyenne, WY 82001
(307) 634-2273
✔ PECOS✔ Accepts Medicare716 mi

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 Instaclinic, LLC's NPI number?

The NPI number for Instaclinic, LLC is 1659978401. It was assigned to this organization in the NPPES registry on October 5, 2020.

Where is Instaclinic, LLC located?

Instaclinic, LLC is located at 7008 Quartermile Ln, Dallas, TX 75248. The listed phone number is (307) 256-8556.

What is Instaclinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Instaclinic, LLC enrolled in Medicare?

Yes. Instaclinic, LLC is registered in the Medicare PECOS enrollment system.

When is Instaclinic, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Instaclinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Instaclinic, LLC, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Instaclinic, LLC was last updated on December 21, 2022. 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.