Active NPI
Jr Family Healthcare, PLLC
Doing business as Houston County Family Medical Clinic
- Rural Health Clinic/Center
- Crockett, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- JR FAMILY HEALTHCARE, PLLC
- Doing business as
- Houston County Family Medical Clinic
- Practice address
- 1501 E Loop 304 Ste 50
Crockett, TX 75835-3417 - Phone
- (832) 964-6436
- NPI assigned
- Jan 9, 2020
- 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
- Dr. Natalie Elizabeth Bachynsky, PHD, FNP-C, APRN
- Title
- Member/Family Nurse Practitioner
- Phone
- (832) 964-6436
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1501 E Loop 304 Ste 50
Crockett, TX 75835-3417
Mailing address
6505 FM 1280 E
Lovelady, TX 75851-3688
Phone (936) 544-7223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408787601 | Medicaid | TX |
Other names 1
- Houston County Family Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200221000578 | TX | Part B Supplier - Clinic/Group Practice | 2466889027 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Chester, TX; Crockett, TX |
| O20200430001826 | TX | Part A Provider - Rural Health Clinic | 2466889027 | Practice locations: Crockett, TX |
Rural health clinic certification: CCN 673953
- Legal name
- JR FAMILY HEALTHCARE, PLLC
- Doing business as
- HOUSTON COUNTY FAMILY MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jun 9, 2020
- Last certification
- Mar 31, 2026
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Dec 3, 2019 in TX
- Enrollment address
- 1501 E Loop 304
Ste 50
Crockett, TX 75835-3419
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Chester Family Clinic
- Rural Health Clinic/Center
- Chester, TX
- NPI 1871437962
O20200221000578
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 |
|---|---|---|---|
| 45D2178041 | Houston County Family Medical Clinic | Certificate of waiver | Jan 23, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Jr Family Healthcare PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Chester Family Clinic
- Rural Health Clinic/Center
- Chester, TX
- NPI 1871437962
Locations
1501 E Loop 304
Ste 50
Crockett, TX 75835
Phone (936) 544-7223
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ashton Bachynsky | Corporate Officer | Dec 3, 2019 | |
| W-2 Managing Employee | Dec 3, 2019 | ||
| Natalie Ea Bachynsky | 5% Or Greater Direct Ownership Interest | Dec 3, 2019 | 100% |
| Corporate Officer | Dec 3, 2019 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Crockett, TX
- NPI 1366840068
5% Or Greater Direct Ownership Interest, Corporate Officer
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Crockett, TX
- NPI 1366840068
-
- Family Nurse Practitioner
- Crockett, TX
- NPI 1528999455
-
- Family Nurse Practitioner
- Crockett, TX
- NPI 1245982875
-
- Family Nurse Practitioner
- Crockett, TX
- NPI 1497452320
-
- Family Medicine Physician
- Groveton, TX
- NPI 1154304467
-
- Family Nurse Practitioner
- Crockett, TX
- NPI 1558995738
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1386235075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1750921441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 FM 1280 E",
"city": "LOVELADY",
"state": "TX",
"postal_code": "758513688",
"telephone_number": "936-544-7223",
"fax_number": "936-544-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E LOOP 304 STE 50",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758353417",
"telephone_number": "832-964-6436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JR FAMILY HEALTHCARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-09",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A",
"authorized_official_last_name": "BACHYNSKY",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "MEMBER/FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "832-964-6436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, FNP-C, APRN"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408787601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Houston County Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Houston County Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crockett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.