WELLFLEET FAMILY MEDICAL INC A MEDICAL CORPORATION
NPI 1780081141
Family Medicine in Upland, CA
About Wellfleet Family Medical Inc A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLFLEET FAMILY MEDICAL INC A MEDICAL CORPORATION (NPI 1780081141) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since December 2014. The organization lists Annette M Hollenbeck, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Wellfleet Family Medical Inc A Medical Corporation 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 Wellfleet Family Medical Inc A Medical Corporation, 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.
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 Wellfleet Family Medical Inc A Medical Corporation's NPI number?
The NPI number for Wellfleet Family Medical Inc A Medical Corporation is 1780081141. It was assigned to this organization in the NPPES registry on December 1, 2014.
Where is Wellfleet Family Medical Inc A Medical Corporation located?
Wellfleet Family Medical Inc A Medical Corporation is located at 600 N Mountain Ave Suite A-100, Upland, CA 91786. The listed phone number is (909) 938-2681.
What is Wellfleet Family Medical Inc A Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wellfleet Family Medical Inc A Medical Corporation enrolled in Medicare?
Yes. Wellfleet Family Medical Inc A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellfleet Family Medical Inc A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wellfleet Family Medical Inc A Medical Corporation. 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.
When was this NPI record last updated?
The NPPES record for Wellfleet Family Medical Inc A Medical Corporation was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Wellfleet Family Medical Inc A Medical Corporation · NPI 1780081141
Family Medicine organization in Upland, California. Organization record, active in the CMS NPPES registry since December 1, 2014.
## Identity
- **NPI:** 1780081141 (Entity type: Organization)
- **Enumerated:** December 1, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Annette Hollenbeck, PRESIDENT
## Practice location
- **Address:** 600 N MOUNTAIN AVE, SUITE A-100, Upland, CA 91786-4359
- **Phone:** (909) 938-2681
## 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:** December 1, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1780081141) · Data from the CMS NPPES public registry.