EASTLAND HEALTH CLINIC PLLC
NPI 1942572227
Clinic/Center - Primary Care in Eastland, TX

Active since February 02, 2012CLIA 45D2038058 · Waiver
1004 W MAIN ST, EASTLAND, TX 76448(254) 631-0111(254) 631-0186 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastland Health Clinic Pllc NPPES

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

EASTLAND HEALTH CLINIC PLLC (NPI 1942572227) is a healthcare organization registered as a primary care in Eastland, Texas and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Julie Berenda Stewart, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1942572227
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEASTLAND HEALTH CLINIC PLLC
Location Address1004 W MAIN STEastland, TX 76448-2432
Mailing AddressPo Box 150415Austin, TX 78715-0415 · (254) 631-0111 · Fax (254) 631-0186
Fax(254) 631-0186
Organization SubpartNo
Authorized OfficialJulie Berenda StewartFamily Nurse Practitioner · (254) 631-0111
Enumeration DateFebruary 2, 2012
Last NPPES UpdateMay 3, 2012
✔ NPI 1942572227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · 653723
1004 W MAIN ST, Eastland, TX 76448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastland Health Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eastland Health Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1912787698
711 W MAIN ST
Eastland, TX 76448
(254) 631-0111
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1457540338
711 W MAIN ST
Eastland, TX 76448
(254) 631-0111
✔ PECOS✔ Accepts Medicare0.2 mi

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 45D2038058

Eastland Health Clinic, PLLC · Eastland, TX
Active · expires Mar 11, 2028
CLIA Number45D2038058
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorJulie B. Stewart
Laboratory Phone(254) 631-0111
Laboratory LocationEastland Health Clinic, PLLC711 West Main Eastland, Eastland, TX 76448
CLIA data matches this NPI record on: 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 Eastland Health Clinic PLLC's NPI number?

The NPI number for Eastland Health Clinic PLLC is 1942572227. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is Eastland Health Clinic PLLC located?

Eastland Health Clinic PLLC is located at 1004 W Main St, Eastland, TX 76448. The listed phone number is (254) 631-0111.

What is Eastland Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Eastland Health Clinic PLLC enrolled in Medicare?

Yes. Eastland Health Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastland Health Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Eastland Health Clinic 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eastland Health Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2038058) is associated with this NPI, valid through March 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 Eastland Health Clinic PLLC was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.