HILLCREST FAMILY MEDICINE
NPI 1912224395
Family Medicine in Frisco, TX
About Hillcrest Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILLCREST FAMILY MEDICINE (NPI 1912224395) is a healthcare organization registered as a family medicine in Frisco, Texas and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Kristoffer Pepperell, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hillcrest Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Hillcrest Family Medicine, which bills Medicare for the services they deliver. Of these, 2 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 of Waiver 45D2007246
Hillcrest Family Medicine · Frisco, 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 Hillcrest Clinic PA's NPI number?
The NPI number for Hillcrest Clinic PA is 1912224395. It was assigned to this organization in the NPPES registry on April 26, 2010. The provider is also known as Hillcrest Family Medicine.
Where is Hillcrest Clinic PA located?
Hillcrest Clinic PA is located at 4500 Hillcrest Rd Suite 180, Frisco, TX 75035. The listed phone number is (214) 619-5410.
What is Hillcrest Clinic PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hillcrest Clinic PA enrolled in Medicare?
Yes. Hillcrest Clinic PA is registered in the Medicare PECOS enrollment system.
When is Hillcrest Clinic PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hillcrest Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Hillcrest Clinic PA. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hillcrest Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2007246) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hillcrest Clinic PA was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Hillcrest Family Medicine · NPI 1912224395
Family Medicine organization in Frisco, Texas. Organization record, active in the CMS NPPES registry since April 26, 2010.
## Identity
- **NPI:** 1912224395 (Entity type: Organization)
- **Enumerated:** April 26, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Hillcrest Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Kristoffer Pepperell, PARTNER
## Practice location
- **Address:** 4500 HILLCREST RD, SUITE 180, Frisco, TX 75035-5418
- **Phone:** (214) 619-5410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912224395) · Data from the CMS NPPES public registry.