HEAL CITY HEALTH AND WELLNESS LLC
NPI 1780531624
Nurse Practitioner - Family in Weatherford, OK

Active since March 11, 2026CLIA 37D2343634 · Waiver
4200 CARRIAGE WAY, WEATHERFORD, OK 73096(405) 814-1915(405) 814-1951 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2026, Mar 11, 2026 (2 updates tracked since 2026).

About Heal City Health And Wellness Llc NPPES

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

HEAL CITY HEALTH AND WELLNESS LLC (NPI 1780531624) is a healthcare organization registered as a family in Weatherford, Oklahoma and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Olaide Olufunmilayo Owoloye, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1780531624
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEAL CITY HEALTH AND WELLNESS LLC
Location Address4200 CARRIAGE WAYWeatherford, OK 73096-9614
Mailing Address4200 Carriage WayWeatherford, OK 73096-9614 · (405) 814-1915 · Fax (405) 814-1951
Fax(405) 814-1951
Organization SubpartNo
Authorized OfficialOlaide Olufunmilayo OwoloyeNurse Practitioner · (405) 814-1915
Enumeration DateMarch 11, 2026
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1780531624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4200 CARRIAGE WAY, Weatherford, OK 73096

Group Practice 1

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)

Heal City Health And Wellness Llc 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 Heal City Health And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1053971804
4200 CARRIAGE WAY
Weatherford, OK 73096
(405) 814-1915
✔ PECOS✔ Accepts MedicareSame address

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 37D2343634

Heal City Health And Wellness · Weatherford, OK
Active · expires May 10, 2028
CLIA Number37D2343634
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorOlaide O. Owoloye
Laboratory Phone(405) 814-1915
Laboratory LocationHeal City Health And Wellness4200 Carriage Way, Weatherford, OK 73096
CLIA data matches this NPI record on: Address Name Phone
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 Heal City Health And Wellness LLC's NPI number?

The NPI number for Heal City Health And Wellness LLC is 1780531624. It was assigned to this organization in the NPPES registry on March 11, 2026.

Where is Heal City Health And Wellness LLC located?

Heal City Health And Wellness LLC is located at 4200 Carriage Way, Weatherford, OK 73096. The listed phone number is (405) 814-1915.

What is Heal City Health And Wellness LLC's specialty?

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

Is Heal City Health And Wellness LLC enrolled in Medicare?

Yes. Heal City Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heal City Health And Wellness LLC?

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

Does Heal City Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2343634) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heal City Health And Wellness LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Heal City Health And Wellness LLC 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 Heal City Health And Wellness LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.