Organization Active NPI

Erwin Health Care, Inc.

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1891174199
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124617 Issued in TX
Legal business name
ERWIN HEALTH CARE, INC.
Practice address
109 NW 2ND St
Mineral Wells, TX 76067-4940
Phone
(940) 654-6200
Fax
(940) 325-2202
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mr. Chris Erwin, FNP-C
Title
President
Phone
(940) 654-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP124617 TX Primary

Addresses

Primary practice location

109 NW 2ND St
Mineral Wells, TX 76067-4940

Mailing address

109 NW 2ND St
Mineral Wells, TX 76067-4940
Phone (940) 654-6200

Other names 1

  • Accountable Care Now Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160303000807 TX Part B Supplier - Clinic/Group Practice 8729384698 Receives reassigned benefits from 2 practitioners
Practice locations: Mineral Wells, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2110825Accountable Care Now109 NW 2ND Street, Mineral Wells, TX 76067Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

109 NW 2nd St
Mineral Wells, TX 76067
Phone (940) 654-6200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1891174199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NW 2ND ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674940",
            "telephone_number": "940-654-6200",
            "fax_number": "940-325-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NW 2ND ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674940",
            "telephone_number": "940-654-6200",
            "fax_number": "940-325-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-654-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accountable Care Now",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.

Verify at the official NPI Registry.