Active NPI
Model Wellness, PLLC
- Family Medicine Physician
- Farmers Branch, TX
National Provider Identifier
1467042499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MODEL WELLNESS, PLLC
- Practice address
- 14350 Proton Rd
Farmers Branch, TX 75244-3511 - Phone
- (214) 643-6888
- Fax
- (855) 479-2044
- NPI assigned
- Jan 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gracie Hernandez
- Title
- Credentialing Manager
- Phone
- (817) 687-9517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
14350 Proton Rd
Farmers Branch, TX 75244-3511
Mailing address
14350 Proton Rd
Farmers Branch, TX 75244-3511
Phone (214) 643-6888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2272341 | Model Wellness | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
14350 Proton Rd
Farmers Branch, TX 75244
Phone (214) 441-7610
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Farmers Branch, TX
- NPI 1548866973
Single Specialty
-
- Chiropractor
- Plano, TX
- NPI 1669579173
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1588200117
-
- Chiropractor
- Dallas, TX
- NPI 1073520326
-
- Family Nurse Practitioner
- Amarillo, TX
- NPI 1518353523
-
- Sports Medicine (Internal Medicine) Physician
- Farmers Branch, TX
- NPI 1417203894
-
- Family Nurse Practitioner
- Farmers Branch, TX
- NPI 1568897361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1467042499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14350 PROTON RD",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752443511",
"telephone_number": "214-643-6888",
"fax_number": "855-479-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14350 PROTON RD",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752443511",
"telephone_number": "214-643-6888",
"fax_number": "855-479-2044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODEL WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-23",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "GRACIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "817-687-9517"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.