LONGVIEW WELLNESS CENTER INC
Medicare Clinicians for NPI 1750187290
Clinic/Center - Federally Qualified Health Center (FQHC) in Longview, TX

Active since February 24, 2025
1644 N EASTMAN RD, LONGVIEW, TX 75601(903) 758-2610(903) 758-7081 Get Directions

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, Feb 24, 2025 (2 updates tracked since 2025).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Longview Wellness Center Inc in Longview, TX bills Medicare for 127 clinicians across 12 Medicare specialties. The largest specialties are Obstetrics/Gynecology with 51, Nurse Practitioner with 34 and Certified Nurse Midwife (CNM) with 14. Of these, 61 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

127Clinicians
12Medicare specialties
127PECOS enrolled
63Accept Medicare
127 clinicians in 12 specialties

Obstetrics/Gynecology (51)

Obstetrics/Gynecology
NPI 1710975560
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare1.2 mi
Obstetrics/Gynecology
NPI 1417945262
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Obstetrics/Gynecology
NPI 1306813662
2904 N 4TH ST SUITE 101
Longview, TX 75605
(903) 753-4603
✔ PECOS1.4 mi
Obstetrics/Gynecology
NPI 1225005531
1111 N 6TH ST
Longview, TX 75601
(903) 753-7658
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1356318273
802 MEDICAL DR SUITE 101
Longview, TX 75605
(903) 753-7658
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1881124642
802 MEDICAL DR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1497722714
802 MEDICAL DR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1336717453
802 MEDICAL CIR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1326356130
802 MEDICAL DR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1639437247
802 MEDICAL DR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1861616047
802 MEDICAL CIR STE 101
Longview, TX 75605
(903) 758-2610
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1245207638
802 MEDICAL DR STE 202
Longview, TX 75605
(903) 315-2744
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1386023968
802 MEDICAL DR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1851368831
802 MEDICAL DR SUITE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1346217783
802 MEDICAL DR STE 100
Longview, TX 75605
(903) 757-6042
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1396930376
705 E MARSHALL AVE STE 3000
Longview, TX 75601
(906) 758-2610
✔ PECOS✔ Accepts Medicare1.6 mi
Obstetrics/Gynecology
NPI 1457533101
705 E MARSHALL AVE SUITE 5001
Longview, TX 75601
(903) 315-5733
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1811156227
705 E MARSHALL AVE SUITE 5001
Longview, TX 75601
(903) 315-5733
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1548369424
1212 CLINIC DR
Tyler, TX 75701
(903) 399-9787
✔ PECOS36 mi
Obstetrics/Gynecology
NPI 1437217494
825 MEDICAL DR STE A
Tyler, TX 75701
(903) 758-2610
✔ PECOS36 mi
Obstetrics/Gynecology
NPI 1013950997
825 MEDICAL DR STE A
Tyler, TX 75701
(903) 758-2610
✔ PECOS✔ Accepts Medicare36 mi
Obstetrics/Gynecology
NPI 1356797740
1100 S. BECKHAM STE. 2200
Tyler, TX 75701
(903) 533-8811
✔ PECOS✔ Accepts Medicare36 mi
Obstetrics/Gynecology
NPI 1992936603
928 N GLENWOOD BLVD
Tyler, TX 75702
(903) 535-9041
✔ PECOS✔ Accepts Medicare37 mi
Obstetrics/Gynecology
NPI 1215084603
928 N GLENWOOD BLVD
Tyler, TX 75702
(903) 535-9041
✔ PECOS✔ Accepts Medicare37 mi
Obstetrics/Gynecology
NPI 1649461211
928 N GLENWOOD BLVD
Tyler, TX 75702
(903) 535-9041
✔ PECOS✔ Accepts Medicare37 mi
Obstetrics/Gynecology
NPI 1215924832
2015 MULBERRY AVE STE 250
Mount Pleasant, TX 75455
(903) 572-4664
✔ PECOS✔ Accepts Medicare48 mi
Obstetrics/Gynecology
NPI 1477540003
2015 MULBERRY AVE STE 250
Mount Pleasant, TX 75455
(903) 572-4664
✔ PECOS✔ Accepts Medicare48 mi
Obstetrics/Gynecology
NPI 1023085925
2510 W. BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71118
(318) 212-5000
✔ PECOS54 mi
Obstetrics/Gynecology
NPI 1750394904
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts Medicare56 mi
Obstetrics/Gynecology
NPI 1073699500
8001 YOUREE DR STE 600
Shreveport, LA 71115
(318) 212-3890
✔ PECOS✔ Accepts Medicare59 mi
Obstetrics/Gynecology
NPI 1851445340
4800 NE STALLINGS DR STE 106
Nacogdoches, TX 75965
(936) 569-0000
✔ PECOS✔ Accepts Medicare60 mi
Obstetrics/Gynecology
NPI 1295731016
4500 WESLEY ST
Greenville, TX 75401
(903) 455-5986
✔ PECOS91 mi
Obstetrics/Gynecology
NPI 1780940452
3144 HORIZON RD STE 220
Rockwall, TX 75032
(972) 771-1935
✔ PECOS105 mi
Obstetrics/Gynecology
NPI 1952410037
3535 N BUCKNER BLVD STE 104
Dallas, TX 75228
(214) 774-9111
✔ PECOS✔ Accepts Medicare117 mi
Obstetrics/Gynecology
NPI 1851382154
6541 PRESTON RD SUITE 300
Plano, TX 75024
(469) 592-7700
✔ PECOS✔ Accepts Medicare127 mi
Obstetrics/Gynecology
NPI 1356531180
3108 MIDWAY RD SUITE #200
Plano, TX 75093
(972) 781-1515
✔ PECOS129 mi
Obstetrics/Gynecology
NPI 1740310036
6200 W PARKER RD SUITE 200
Plano, TX 75093
(972) 608-4433
✔ PECOS129 mi
Obstetrics/Gynecology
NPI 1730294232
1600 W COLLEGE ST STE LL10
Grapevine, TX 76051
(817) 410-7982
✔ PECOS141 mi
Obstetrics/Gynecology
NPI 1194721944
1643 LANCASTER DR STE 204
Grapevine, TX 76051
(817) 310-3775
✔ PECOS✔ Accepts Medicare142 mi
Obstetrics/Gynecology
NPI 1518958230
508 MEDICAL CENTER BLVD STE 150
Conroe, TX 77304
(936) 760-4600
✔ PECOS✔ Accepts Medicare160 mi
Obstetrics/Gynecology
NPI 1730407818
1415 CALIFORNIA ST
Houston, TX 77006
(832) 548-5000
✔ PECOS195 mi
Obstetrics/Gynecology
NPI 1710984091
800 W CENTRAL TEXAS EXPY SUITE 200
Harker Heights, TX 76548
(254) 519-2229
✔ PECOS201 mi
Obstetrics/Gynecology
NPI 1407840606
450 BLOSSOM ST STE C
Webster, TX 77598
(281) 557-1760
✔ PECOS207 mi
Obstetrics/Gynecology
NPI 1720285158
2810 DACY LN
Kyle, TX 78640
(512) 268-8900
✔ PECOS✔ Accepts Medicare253 mi
Obstetrics/Gynecology
NPI 1871562231
203 9TH ST
Greenwood, MS 38930
(662) 459-1367
✔ PECOS✔ Accepts Medicare271 mi
Obstetrics/Gynecology
NPI 1265622732
533 BOLIVAR ST RM 639
New Orleans, LA 70112
(504) 568-4864
✔ PECOS✔ Accepts Medicare326 mi
Obstetrics/Gynecology
NPI 1013021146
540 W 5TH ST SUITE 420
Odessa, TX 79761
(432) 582-2280
✔ PECOS✔ Accepts Medicare451 mi
Obstetrics/Gynecology
NPI 1538330352
4422 S MCCOLL RD
Edinburg, TX 78539
(956) 800-4378
✔ PECOS✔ Accepts Medicare479 mi
Obstetrics/Gynecology
NPI 1932309838
306 HOSPITAL DR
South Williamson, KY 41503
(606) 237-1790
✔ PECOS✔ Accepts Medicare787 mi
Obstetrics/Gynecology
NPI 1609891795
785 RUSSELL ST SUITE 100
Craig, CO 81625
(970) 826-2420
✔ PECOS✔ Accepts Medicare901 mi
Obstetrics/Gynecology
NPI 1730110446
615 LILLY RD NE STE 200
Olympia, WA 98506
(360) 413-8413
✔ PECOS✔ Accepts Medicare1,787 mi

Nurse Practitioner (34)

Nurse Practitioner
NPI 1639574098
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1174292056
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1780205427
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1538848296
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1790051548
802 MEDICAL DR STE 202
Longview, TX 75605
(903) 315-2744
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1104328947
705 E MARSHALL AVE STE 3000
Longview, TX 75601
(903) 315-2700
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1164499661
1221 JUDSON RD STE 900
Longview, TX 75601
(903) 212-8990
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1144610106
3204 4TH ST
Longview, TX 75605
(903) 501-5056
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1215353651
618 N HIGH ST STE 3
Longview, TX 75601
(903) 234-8755
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1306595020
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1609132521
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1790257392
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1740405711
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1144042995
201 E LOOP 281
Longview, TX 75605
(903) 758-2610
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1982954566
2131 S MOBBERLY AVE
Longview, TX 75602
(903) 758-3551
✔ PECOS3.8 mi
Nurse Practitioner
NPI 1477201127
2131 S MOBBERLY AVE
Longview, TX 75602
(903) 758-2610
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1851845366
1001 W FAIRMONT ST
Longview, TX 75604
(903) 758-2610
✔ PECOS4.1 mi
Nurse Practitioner
NPI 1659468262
1761 W LOOP 281
Longview, TX 75604
(903) 758-2610
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1831237775
1711 S HENDERSON BLVD STE 400
Kilgore, TX 75662
(903) 758-2610
✔ PECOS14 mi
Nurse Practitioner
NPI 1548229990
1711 S HENDERSON BLVD
Kilgore, TX 75662
(903) 758-2610
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1982368809
810 N HILL ST
Tatum, TX 75691
(903) 947-2020
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1215489935
1600 US HIGHWAY 79 S
Henderson, TX 75654
(903) 717-3260
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1063285856
825 MEDICAL DR STE A
Tyler, TX 75701
(903) 758-2610
✔ PECOS36 mi
Nurse Practitioner
NPI 1346556420
825 MEDICAL DR STE A
Tyler, TX 75701
(903) 758-2610
✔ PECOS36 mi
Nurse Practitioner
NPI 1134784838
825 MEDICAL DR STE A
Tyler, TX 75701
(903) 758-2610
✔ PECOS36 mi
Nurse Practitioner
NPI 1780140194
1901 MULBERRY AVE STE A
Mount Pleasant, TX 75455
(903) 758-2610
✔ PECOS48 mi
Nurse Practitioner
NPI 1134837792
1901 MULBERRY AVE STE A
Mt Pleasant, TX 75455
(903) 758-2610
✔ PECOS48 mi
Nurse Practitioner
NPI 1083486989
2015 MULBERRY AVE STE 250
Mt Pleasant, TX 75455
(903) 758-2610
✔ PECOS48 mi
Nurse Practitioner
NPI 1093051872
1001 N PALESTINE ST
Athens, TX 75751
(903) 904-5084
✔ PECOS71 mi
Nurse Practitioner
NPI 1912914151
106 N MARTIN LUTHER KING DR
Clarksville, TX 75426
(903) 427-2226
✔ PECOS✔ Accepts Medicare78 mi
Nurse Practitioner
NPI 1487885901
8711 N FWY
Houston, TX 77037
(281) 931-4080
✔ PECOS186 mi
Nurse Practitioner
NPI 1568079473
4913 VALLEY STREAM DR
Corpus Christi, TX 78413
(361) 688-9493
✔ PECOS370 mi
Nurse Practitioner
NPI 1659395911
2101 BOX BUTTE AVE
Alliance, NE 69301
(308) 762-6660
✔ PECOS799 mi
Nurse Practitioner
NPI 1891288742
5985 SILVER FALLS RUN STE 100
Bradenton, FL 34211
(941) 202-2055
✔ PECOS✔ Accepts Medicare815 mi

Certified Nurse Midwife (CNM) (14)

Certified Nurse Midwife (CNM)
NPI 1801134085
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Certified Nurse Midwife (CNM)
NPI 1619501608
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare1.2 mi
Certified Nurse Midwife (CNM)
NPI 1922068972
2901 4TH ST
Longview, TX 75605
(903) 758-1818
✔ PECOS✔ Accepts Medicare1.5 mi
Certified Nurse Midwife (CNM)
NPI 1750421095
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.7 mi
Certified Nurse Midwife (CNM)
NPI 1356715981
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS2.7 mi
Certified Nurse Midwife (CNM)
NPI 1689113060
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS2.7 mi
Certified Nurse Midwife (CNM)
NPI 1780712257
1761 W LOOP 281
Longview, TX 75604
(903) 758-2610
✔ PECOS4.2 mi
Certified Nurse Midwife (CNM)
NPI 1154483113
1761 W LOOP 281
Longview, TX 75604
(903) 758-2610
✔ PECOS✔ Accepts Medicare4.2 mi
Certified Nurse Midwife (CNM)
NPI 1992356588
928 N GLENWOOD BLVD
Tyler, TX 75702
(903) 535-9041
✔ PECOS✔ Accepts Medicare37 mi
Certified Nurse Midwife (CNM)
NPI 1083073803
2015 MULBERRY AVE STE 250
Mount Pleasant, TX 75455
(903) 572-4664
✔ PECOS48 mi
Certified Nurse Midwife (CNM)
NPI 1710604806
115 MEDICAL DR
Palestine, TX 75801
(903) 723-8554
✔ PECOS✔ Accepts Medicare76 mi
Certified Nurse Midwife (CNM)
NPI 1598422578
6609 VIRGINIA PKWY
Mckinney, TX 75071
(972) 542-8884
✔ PECOS✔ Accepts Medicare125 mi
Certified Nurse Midwife (CNM)
NPI 1649638776
1500 S MAIN ST
Fort Worth, TX 76104
(817) 702-3595
✔ PECOS✔ Accepts Medicare153 mi
Certified Nurse Midwife (CNM)
NPI 1114689890
2401 UNIVERSITY PKWY STE 201
Sarasota, FL 34243
(941) 359-8300
✔ PECOS811 mi

Mental Health Counselor (10)

Mental Health Counselor
NPI 1548778426
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Mental Health Counselor
NPI 1164993382
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS2.7 mi
Mental Health Counselor
NPI 1881083285
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.7 mi
Mental Health Counselor
NPI 1215407416
201 E LOOP 281
Longview, TX 75605
(903) 758-2610
✔ PECOS2.8 mi
Mental Health Counselor
NPI 1629689237
201 E LOOP 281
Longview, TX 75605
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.8 mi
Mental Health Counselor
NPI 1417735325
201 E LOOP 281
Longview, TX 75605
(903) 758-2610
✔ PECOS2.8 mi
Mental Health Counselor
NPI 1407393325
1001 W FAIRMONT ST
Longview, TX 75604
(903) 758-2610
✔ PECOS4.2 mi
Mental Health Counselor
NPI 1780382846
154 PRIVATE ROAD 3483
Big Sandy, TX 75755
(903) 698-6110
✔ PECOS22 mi
Mental Health Counselor
NPI 1235200080
825 MEDICAL DR
Tyler, TX 75701
(903) 758-2610
✔ PECOS36 mi
Mental Health Counselor
NPI 1992478820
1901 MULBERRY AVE STE A
Mt Pleasant, TX 75455
(903) 758-2610
✔ PECOS48 mi

Dentist (5)

Dentist
NPI 1851080949
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Dentist
NPI 1366897183
3210 STONE RD STE A
Kilgore, TX 75662
(903) 984-8556
✔ PECOS12 mi
Dentist
NPI 1851821920
601 MATLOCK CENTRE CIR
Arlington, TX 76015
(817) 693-1000
✔ PECOS141 mi
Dentist
NPI 1487808457
7551 OAKMONT BLVD
Fort Worth, TX 76132
(817) 292-9348
✔ PECOS159 mi
Dentist
NPI 1326041815
206 MEADOW MOUNTAIN DRIVE
Waco, TX 76712
(908) 507-4487
✔ PECOS164 mi

Pediatric Medicine (4)

Pediatric Medicine
NPI 1699774489
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Pediatric Medicine
NPI 1659477222
1009 N 4TH ST
Longview, TX 75601
(903) 212-4330
✔ PECOS1.4 mi
Pediatric Medicine
NPI 1740288430
2131 S MOBBERLY AVE
Longview, TX 75602
(903) 758-2610
✔ PECOS3.8 mi
Pediatric Medicine
NPI 1336148394
1761 W LOOP 281
Longview, TX 75604
(903) 758-2610
✔ PECOS4.2 mi

Optometry (3)

Optometry
NPI 1992108120
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare1.2 mi
Optometry
NPI 1699772863
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi
Optometry
NPI 1902239965
7239 SW LOOP 410
San Antonio, TX 78227
(210) 623-1741
✔ PECOS319 mi

Family Practice (2)

Family Practice
NPI 1619997319
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1407822299
602 TITUS ST STE 130
Gilmer, TX 75644
(903) 758-2610
✔ PECOS✔ Accepts Medicare20 mi

Clinical Psychologist (1)

Clinical Psychologist
NPI 1588714018
425 N FREDONIA ST
Longview, TX 75601
(903) 758-2610
✔ PECOS2.1 mi

Clinical Social Worker (1)

Clinical Social Worker
NPI 1427911023
1901 MULBERRY AVE STE A
Mt Pleasant, TX 75455
(903) 758-2610
✔ PECOS48 mi

Oral Surgery (1)

Oral Surgery
NPI 1396151817
1107 E MARSHALL AVE
Longview, TX 75601
(903) 758-2610
✔ PECOS1.2 mi

Plastic and Reconstructive Surgery (1)

Plastic and Reconstructive Surgery
NPI 1407831233
7600 FANNIN ST
Houston, TX 77054
(713) 790-1234
✔ PECOS199 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Longview Wellness Center Inc appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.