NPIMap

Organization Active NPI

Frontera Healthcare Network

Doing business as Frontera Fredericksburg Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
National Provider Identifier
1730976770
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRONTERA HEALTHCARE NETWORK
Doing business as
Frontera Fredericksburg Behavioral Health
Practice address
808 Reuben St
Fredericksburg, TX 78624-4484
Phone
(325) 869-5500
NPI assigned
Apr 23, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mikki HandNPI 1871192914
Title
Ceo
Phone
(325) 869-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

808 Reuben St
Fredericksburg, TX 78624-4484

Mailing address

PO Box 669
Menard, TX 76859-0669

Other names 1

  • Frontera Fredericksburg Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160907002398 TX Part B Supplier - Clinic/Group Practice 8426142522 Receives reassigned benefits from 28 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Menard, TX; Brady, TX; Mason, TX; Junction, TX; Fredericksburg, TX
O20250722002114 TX Part A Provider - Federally Qualified Health Center (FQHC) 8426142522 Practice locations: Fredericksburg, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730976770. Details of each certification follow.

Federally qualified health center certification: CCN 971069

Legal name
FRONTERA HEALTHCARE NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 4, 2025
Last certification
Jun 4, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
808 Reuben St
Fredericksburg, TX 78624-4484

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Frontera Healthcare Network Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1211 S Bridge St
Brady, TX 76825
Phone (325) 597-0464

2205 S Bridge St
Ste 300
Brady, TX 76825
Phone (325) 597-0102

1426 E Main St
#300400
Fredericksburg, TX 78624
Phone (830) 992-3725

1426 E Main St
Ste 300400
Fredericksburg, TX 78624
Phone (325) 869-5500

808 Reuben St
Fredericksburg, TX 78624
Phone (325) 869-5500

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Addison Keele Individual Corporate Director May 23, 2023
Meredith Allen Individual Corporate Director Aug 31, 2022
Misty B Standard Individual Corporate Director Aug 25, 2020
Lisa Heath Individual Corporate Director Oct 31, 2018
Jay N Cunningham Individual Corporate Director Feb 25, 2020
Meagan Leigh King Individual Corporate Officer Aug 17, 2021
James Ed Savage Individual Corporate Director Jul 27, 2021
Collyn Wright Individual Corporate Director Aug 31, 2022
Bobbie Doege Individual Corporate Director Mar 28, 2023
Lisa Kothmann Individual Corporate Director Jun 27, 2023
Monte Horne Individual Corporate Director May 15, 2017
Kathryn Figer Individual Corporate Director Apr 23, 2024
Mikki Hand Individual Corporate Officer Jan 23, 2017
W-2 Managing Employee Jan 23, 2017
Misty Jacinto Individual Corporate Officer Jan 31, 2021
Vicky Outlaw Individual Corporate Director Nov 22, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Frontera Healthcare NetworkMason, TX, CCN 671897 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 11, 2000
Feb 11, 2000
Frontera Healthcare NetworkBrady, TX, CCN 671989 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 11, 2000
Feb 11, 2000
Frontera Healthcare NetworkJunction, TX, CCN 671970 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 11, 2000
Feb 11, 2000

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1730976770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "MENARD",
            "state": "TX",
            "postal_code": "768590669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 REUBEN ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244484",
            "telephone_number": "325-869-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-869-5500"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontera Fredericksburg Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.