PREMIER FAMILY HEALTH AND WELLNESS PLLC
NPI 1780156893
Nurse Practitioner - Family in Lake Jackson, TX

Active since December 31, 2018
201 OAK DR S STE 203, LAKE JACKSON, TX 77566(979) 297-9086(844) 971-6888 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2025, May 31, 2023, Dec 31, 2018 (3 updates tracked since 2018).

About Premier Family Health And Wellness Pllc NPPES

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

PREMIER FAMILY HEALTH AND WELLNESS PLLC (NPI 1780156893) is a healthcare organization registered as a family in Lake Jackson, Texas and active in the NPI registry since December 2018. The organization lists Krysta Danae Thompson, Owner, as its authorized official.

NPPES Registry Identity

NPI1780156893
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePREMIER FAMILY HEALTH AND WELLNESS PLLC
Location Address201 OAK DR S STE 203Lake Jackson, TX 77566-5627
Mailing Address201 Oak Dr S Ste 203Lake Jackson, TX 77566-5627 · (979) 297-9086 · Fax (844) 971-6888
Fax(844) 971-6888
Organization SubpartNo
Authorized OfficialKrysta Danae ThompsonOwner · (979) 297-9086
Enumeration DateDecember 31, 2018
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1780156893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
201 OAK DR S STE 203, Lake Jackson, TX 77566

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Family Health And Wellness Pllc 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 Premier Family Health And Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1366007551
201 OAK DR S STE 203
Lake Jackson, TX 77566
(979) 297-9086
✔ PECOSSame address

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 Premier Family Health And Wellness PLLC's NPI number?

The NPI number for Premier Family Health And Wellness PLLC is 1780156893. It was assigned to this organization in the NPPES registry on December 31, 2018.

Where is Premier Family Health And Wellness PLLC located?

Premier Family Health And Wellness PLLC is located at 201 Oak Dr S Ste 203, Lake Jackson, TX 77566. The listed phone number is (979) 297-9086.

What is Premier Family Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Premier Family Health And Wellness PLLC enrolled in Medicare?

Yes. Premier Family Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Family Health And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premier Family Health And Wellness 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Family Health And Wellness PLLC accept?

Health plans from WellPoint list Premier Family Health And Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Family Health And Wellness PLLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.