Immanuel Family Clinic PLLC
NPI 1265072490 · Family Nurse Practitioner · Carrollton, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Immanuel Family Clinic PLLC is a Family Nurse Practitioner organization in Carrollton, TX (NPI 1265072490).
Provider details
- NPI number
- 1265072490
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sutha Fernando, Owner(214) 625-2808
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Frequently asked questions
- What is Immanuel Family Clinic PLLC's NPI number?
- Immanuel Family Clinic PLLC's National Provider Identifier (NPI) is 1265072490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immanuel Family Clinic PLLC?
- Immanuel Family Clinic PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Immanuel Family Clinic PLLC located?
- Immanuel Family Clinic PLLC's practice location on file with NPPES is 2760 E Trinity Mills Rd Ste 115, Carrollton, TX 75006-2194.
- What is Immanuel Family Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Immanuel Family Clinic PLLC is (469) 900-8211.
- Does Immanuel Family Clinic PLLC accept Medicare?
- Immanuel Family Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Immanuel Family Clinic PLLC?
- The authorized official listed on Immanuel Family Clinic PLLC's NPPES record is Sutha Fernando, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immanuel Family Clinic PLLC's NPI active?
- Yes — Immanuel Family Clinic PLLC's NPI (1265072490) is active in the NPPES registry as of the last update on 2020-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.