MBS HOLISTIC HEALTH & WELLNESS
NPI 1750811790
Nurse Practitioner - Family in San Antonio, TX
About Mbs Holistic Health & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MBS HOLISTIC HEALTH & WELLNESS (NPI 1750811790) is a healthcare organization registered as a family in San Antonio, Texas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Ann Degrassi, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mbs Holistic Health & Wellness 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 Mbs Holistic Health & Wellness, 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.
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 45D2209497
Mbs Holistic Health & Wellness · San Antonio, TXFrequently 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 Mbs Holistic Health & Wellness's NPI number?
The NPI number for Mbs Holistic Health & Wellness is 1750811790. It was assigned to this organization in the NPPES registry on June 13, 2017.
Where is Mbs Holistic Health & Wellness located?
Mbs Holistic Health & Wellness is located at 12414 Nacogdoches Rd Ste 101, San Antonio, TX 78217. The listed phone number is (210) 538-5919.
What is Mbs Holistic Health & Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mbs Holistic Health & Wellness enrolled in Medicare?
Yes. Mbs Holistic Health & Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mbs Holistic Health & Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mbs Holistic Health & Wellness. 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 Mbs Holistic Health & Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2209497) is associated with this NPI, valid through January 12, 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 Mbs Holistic Health & Wellness was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mbs Holistic Health & Wellness · NPI 1750811790
Family organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since June 13, 2017.
## Identity
- **NPI:** 1750811790 (Entity type: Organization)
- **Enumerated:** June 13, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ann Degrassi, CREDENTIALING
## Practice location
- **Address:** 12414 NACOGDOCHES RD STE 101, San Antonio, TX 78217-2145
- **Phone:** (210) 538-5919
## 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:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750811790) · Data from the CMS NPPES public registry.