ELITE PRIMARY CARE
NPI 1700752979
Nurse Practitioner - Primary Care in Tyler, TX

Q: 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.

Q: 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.

Active since October 15, 2025

5520 OLD BULLARD RD STE 120, TYLER, TX 75703(903) 570-0453(903) 817-4423 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1700752979

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameELITE PRIMARY CARE

Location Address5520 OLD BULLARD RD STE 120Tyler, TX 75703-4361

Mailing Address5520 Old Bullard Rd Ste 120Tyler, TX 75703-4361 · (903) 570-0453 · Fax (903) 817-4423

Phone(903) 570-0453

Fax(903) 817-4423

Organization SubpartNo

Authorized OfficialRobin VillenaFnp-c · (903) 570-0453

Enumeration DateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1700752979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

5520 OLD BULLARD RD STE 120, Tyler, TX 75703

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY BROOKE DEES

Nurse Practitioner (Psychiatric/Mental Health)

5520 OLD BULLARD RD STE 120
TYLER, TX 75703

Smith County (903) 969-5125

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.

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 10 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.