TRINITY FAMILY PRACTICE & URGENT CARE LLC
NPI 1750869194
Family Medicine in Odessa, TX

Active since July 28, 2018CLIA 45D2159213 · Waiver
6110 EASTRIDGE RD, ODESSA, TX 79762(432) 238-5076 Get Directions Write a Review

NPPES record last updated: July 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Trinity Family Practice & Urgent Care Llc NPPES

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

TRINITY FAMILY PRACTICE & URGENT CARE LLC (NPI 1750869194) is a healthcare organization registered as a family medicine in Odessa, Texas and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Jason Payne, President, as its authorized official.

NPPES Registry Identity

NPI1750869194
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRINITY FAMILY PRACTICE & URGENT CARE LLC
Location Address6110 EASTRIDGE RDOdessa, TX 79762-5002
Mailing AddressPo Box 14925Odessa, TX 79768-4925 · (432) 238-5076
Organization SubpartNo
Authorized OfficialJason PaynePresident · (432) 238-5076
Enumeration DateJuly 28, 2018
✔ NPI 1750869194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6110 EASTRIDGE RD, Odessa, TX 79762

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Trinity Family Practice & Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Trinity Family Practice & Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1497580609
6100 EASTRIDGE RD
Odessa, TX 79762
(432) 238-5076
✔ PECOSSame address
Nurse Practitioner
NPI 1043729601
3952 E 42ND ST STE Z
Odessa, TX 79762
(432) 614-5327
✔ PECOS2.0 mi
Nurse Practitioner
NPI 1124491634
420 E 6TH ST STE 107
Odessa, TX 79761
(432) 582-2446
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1639711401
1900 W WALL ST STE B
Midland, TX 79701
(432) 247-1309
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1275574196
1601 W. ST. MARY'S RD
Tucson, AZ 85745
(520) 872-3000
✔ PECOS510 mi
Family Practice
NPI 1114456449
2819 35TH AVE
Greeley, CO 80634
(970) 652-2801
✔ PECOS✔ Accepts Medicare601 mi

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 45D2159213

Trinity Family Practice & Urgent Care · Odessa, TX
Active · expires Dec 12, 2026
CLIA Number45D2159213
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorClifford Janke
Laboratory Phone(432) 272-1072
Laboratory LocationTrinity Family Practice & Urgent Care6100 Eastridge Road, Odessa, TX 79762
CLIA data matches this NPI record on: Name
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 Trinity Family Practice & Urgent Care LLC's NPI number?

The NPI number for Trinity Family Practice & Urgent Care LLC is 1750869194. It was assigned to this organization in the NPPES registry on July 28, 2018.

Where is Trinity Family Practice & Urgent Care LLC located?

Trinity Family Practice & Urgent Care LLC is located at 6110 Eastridge Rd, Odessa, TX 79762. The listed phone number is (432) 238-5076.

What is Trinity Family Practice & Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Trinity Family Practice & Urgent Care LLC enrolled in Medicare?

Yes. Trinity Family Practice & Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trinity Family Practice & Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Trinity Family Practice & Urgent Care 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. The largest specialties are Nurse Practitioner (4), Emergency Medicine (1) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Trinity Family Practice & Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2159213) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinity Family Practice & Urgent Care LLC was last updated on July 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.