GENERATIONAL HEALTH INNOVATIONS
NPI 1912887415
Nurse Practitioner - Community Health in Tyler, TX

Active since September 04, 2025
844 S FLEISHEL AVE, TYLER, TX 75701(954) 557-2775 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Generational Health Innovations NPPES

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

GENERATIONAL HEALTH INNOVATIONS (NPI 1912887415) is a healthcare organization registered as a community health in Tyler, Texas and active in the NPI registry since September 2025. The organization lists Jennifer A Blake, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912887415
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameGENERATIONAL HEALTH INNOVATIONS
Location Address844 S FLEISHEL AVETyler, TX 75701-2042
Mailing AddressPo Box 6994Tyler, TX 75711-6994 · (954) 557-2775 · Fax (903) 805-4928
Organization SubpartNo
Authorized OfficialJennifer A BlakeCeo · (954) 557-2775
Enumeration DateSeptember 4, 2025
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1912887415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
844 S FLEISHEL AVE, Tyler, TX 75701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Generational Health Innovations 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 Generational Health Innovations, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265977144
1000 S BECKHAM AVE
Tyler, TX 75701
(903) 597-0351
✔ PECOS0.2 mi

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 Generational Health Innovations's NPI number?

The NPI number for Generational Health Innovations is 1912887415. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Generational Health Innovations located?

Generational Health Innovations is located at 844 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (954) 557-2775.

What is Generational Health Innovations's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Generational Health Innovations enrolled in Medicare?

Yes. Generational Health Innovations is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Generational Health Innovations?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Generational Health Innovations. 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 Generational Health Innovations was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.