NPIMap

Organization Active NPI

Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
National Provider Identifier
1992396949
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRONTERA HEALTHCARE NETWORK
Practice address
200 W Windcrest Dr Ste 100
Fredericksburg, TX 78624-4494
Phone
(830) 992-3725
NPI assigned
Feb 2, 2021
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

200 W Windcrest Dr Ste 100
Fredericksburg, TX 78624-4494

Mailing address

PO Box 989
Eden, TX 76837-0989
Phone (325) 869-5500

Other names 1

  • Frontera Healthcare - Fredericksburg Clinic Other name

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
O20210721003801 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 1992396949. Details of each certification follow.

Federally qualified health center certification: CCN 451152

Legal name
FRONTERA HEALTHCARE NETWORK
Doing business as
FRONTERA HEALTHCARE NETWORK - FREDERICKSBURG CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 16, 2021
Last certification
Jul 16, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1999 in TX
Enrollment address
200 W Windcrest St
Ste 100
Fredericksburg, TX 78624-4494

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

Locations

200 W Windcrest Dr
Ste 100
Fredericksburg, TX 78624
Phone (830) 992-3725

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Rosie Smith Individual Corporate DirectorBoard Member Nov 1, 2023
Meredith Allen Individual Corporate Director Aug 1, 2022
Misty B Standard Individual Corporate DirectorBoard Member Aug 25, 2020
Lisa Heath Individual Corporate DirectorBoard Member Nov 29, 2018
Jay N Cunningham Individual Corporate DirectorBoard Member Feb 25, 2020
James Ed Savage Individual Corporate DirectorBoard Member Nov 19, 2012
Collyn Wright Individual Corporate DirectorBoard Member Aug 1, 2022
Barbara K Stansberry Individual Corporate DirectorBoard Secretary Jul 16, 2007
Kathryn Figer Individual Corporate DirectorBoard Member Apr 1, 2024
Mikki Hand Individual Corporate DirectorExecutive Director Aug 21, 2022
W-2 Managing EmployeeMD;Ceo Aug 21, 2022
Vicky Outlaw Individual Corporate DirectorBoard Member Nov 1, 2022

Owners & managing parties with NPI records 2

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 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1992396949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370989",
            "telephone_number": "325-869-5500",
            "fax_number": "325-869-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WINDCREST DR STE 100",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244494",
            "telephone_number": "830-992-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "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 Healthcare - Fredericksburg Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.