IMPACT HEALTH DIRECT PRIMARY CARE, PLLC
NPI 1760004188
Clinic/Center - Primary Care in Ennis, TX
About Impact Health Direct Primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT HEALTH DIRECT PRIMARY CARE, PLLC (NPI 1760004188) is a healthcare organization registered as a primary care in Ennis, Texas and active in the NPI registry since May 2020. The organization holds a CLIA Microscopy certificate valid through June 5, 2027 and lists Kara Sjogren, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Health Direct Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Impact Health Direct Primary Care, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 for Provider-Performed Microscopy Procedures (PPMP) 45D2167362
Impact Health Direct Primary Care, PLLC · Ennis, 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 Impact Health Direct Primary Care, PLLC's NPI number?
The NPI number for Impact Health Direct Primary Care, PLLC is 1760004188. It was assigned to this organization in the NPPES registry on May 7, 2020.
Where is Impact Health Direct Primary Care, PLLC located?
Impact Health Direct Primary Care, PLLC is located at 711 W Lampasas St, Ennis, TX 75119. The listed phone number is (972) 846-4800.
What is Impact Health Direct Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Impact Health Direct Primary Care, PLLC enrolled in Medicare?
Yes. Impact Health Direct Primary Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Health Direct Primary Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Impact Health Direct Primary Care, PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Impact Health Direct Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2167362) is associated with this NPI, valid through June 5, 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 Impact Health Direct Primary Care, PLLC was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Impact Health Direct Primary Care, Pllc · NPI 1760004188
Primary Care organization in Ennis, Texas. Organization record, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1760004188 (Entity type: Organization)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kara Sjogren, PHYSICIAN/OWNER
## Practice location
- **Address:** 711 W LAMPASAS ST, Ennis, TX 75119-4533
- **Phone:** (972) 846-4800 · **Fax:** (410) 237-6747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1760004188) · Data from the CMS NPPES public registry.