ACM HEALTHCARE GROUP,LLC
NPI 1750055406
Nurse Practitioner - Primary Care in Houston, TX

Active since August 05, 2021CLIA 45D2237472 · Waiver
4828A EAST MOUNT HOUSTON RD, HOUSTON, TX 77093(832) 604-4900 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Acm Healthcare Group,llc NPPES

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

ACM HEALTHCARE GROUP,LLC (NPI 1750055406) is a healthcare organization registered as a primary care in Houston, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Anisleidy Costa Manzano, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1750055406
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameACM HEALTHCARE GROUP,LLC
Location Address4828A EAST MOUNT HOUSTON RDHouston, TX 77093-1633
Mailing Address4828a East Mount Houston RdHouston, TX 77093-1633 · (832) 604-4900
Organization SubpartNo
Authorized OfficialAnisleidy Costa ManzanoFnp/owner · (832) 604-4900
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1750055406 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
4828A EAST MOUNT HOUSTON RD, Houston, TX 77093

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acm Healthcare Group,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 Acm Healthcare Group,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1861038507
4828A MOUNT HOUSTON RD
Houston, TX 77093
(832) 604-4900
✔ PECOSSame address

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 45D2237472

Acm Healthcare Group LLC · Houston, TX
Active · expires Sep 23, 2027
CLIA Number45D2237472
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorAnisleidy Costa Manzano
Laboratory Phone(832) 604-4900
Laboratory LocationAcm Healthcare Group LLC4828A East Mount Houston Road, Houston, TX 77093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Acm Healthcare Group,llc's NPI number?

The NPI number for Acm Healthcare Group,llc is 1750055406. It was assigned to this organization in the NPPES registry on August 5, 2021.

Where is Acm Healthcare Group,llc located?

Acm Healthcare Group,llc is located at 4828A East Mount Houston Rd, Houston, TX 77093. The listed phone number is (832) 604-4900.

What is Acm Healthcare Group,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Acm Healthcare Group,llc enrolled in Medicare?

Yes. Acm Healthcare Group,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acm Healthcare Group,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Acm Healthcare Group,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.

Does Acm Healthcare Group,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2237472) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Acm Healthcare Group,llc was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.