ELITE PRIMARY CARE
NPI 1700752979
Nurse Practitioner - Primary Care in Tyler, TX
About Elite Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PRIMARY CARE (NPI 1700752979) is a healthcare organization registered as a primary care in Tyler, Texas and active in the NPI registry since October 2025. The organization lists Robin Villena, Fnp-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Primary Care 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 Primary Care, 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 Elite Primary Care's NPI number?
The NPI number for Elite Primary Care is 1700752979. It was assigned to this organization in the NPPES registry on October 15, 2025.
Where is Elite Primary Care located?
Elite Primary Care is located at 5520 Old Bullard Rd Ste 120, Tyler, TX 75703. The listed phone number is (903) 570-0453.
What is Elite Primary Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Elite Primary Care enrolled in Medicare?
Yes. Elite Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Primary Care. 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 Primary Care accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Elite Primary Care 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 Primary Care was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Elite Primary Care · NPI 1700752979
Primary Care organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since October 15, 2025.
## Identity
- **NPI:** 1700752979 (Entity type: Organization)
- **Enumerated:** October 15, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Robin Villena, FNP-C
## Practice location
- **Address:** 5520 OLD BULLARD RD STE 120, Tyler, TX 75703-4361
- **Phone:** (903) 570-0453 · **Fax:** (903) 817-4423
## 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:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700752979) · Data from the CMS NPPES public registry.