Frontera Healthcare Network

Organization Active NPI Federally Qualified Health Center (FQHC) · Fredericksburg, TX

NPI 1992396949 · NPPES record last updated May 8, 2026

Key facts

NPI
1992396949
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
No

Authorized official

Name
Mikki Hand
Title
Ceo
Phone
(325) 869-5500

Owners & managing parties with NPI records 2

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

Owned or controlled facilities with NPI records 3

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

Other NPIs on the same Medicare enrollment 8

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

Other NPIs with the same Medicare PAC ID 6

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

Practitioners 19

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

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
Corporation · Non-profit
Incorporated
Nov 15, 1999 in TX
Enrollment address
200 W Windcrest St
Ste 100
Fredericksburg, TX 78624-4494

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

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 Network
Mason, TX · CCN 671897
Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Feb 11, 2000
Feb 11, 2000
Frontera Healthcare Network
Brady, TX · CCN 671989
Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Feb 11, 2000
Feb 11, 2000
Frontera Healthcare Network
Junction, TX · CCN 671970
Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Feb 11, 2000
Feb 11, 2000

Medicare enrollment records

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

National Provider Directory

Locations

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

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

Specialties & licenses

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

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

  • Frontera Healthcare - Fredericksburg Clinic Other name

Other providers in Fredericksburg, TX

All providers in Fredericksburg, TX · Federally Qualified Health Center (FQHC) in Texas

Sources for this page

Verify at the official NPI Registry.