Faith Medical Clinic, PLLC
NPI 1417368168 · Family Nurse Practitioner · Canyon, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Faith Medical Clinic, PLLC is a Family Nurse Practitioner organization in Canyon, TX (NPI 1417368168).
Provider details
- NPI number
- 1417368168
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gloria Fuller, Owner(806) 557-4138
- License
- AP118557 (TX)
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
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1205 23rd St Ste 5Canyon, TX 79015-5331Phone: (806) 557-4674
Registry dates
- Enumerated
- 2014-05-15
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Frequently asked questions
- What is Faith Medical Clinic, PLLC's NPI number?
- Faith Medical Clinic, PLLC's National Provider Identifier (NPI) is 1417368168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Faith Medical Clinic, PLLC?
- Faith Medical Clinic, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Faith Medical Clinic, PLLC located?
- Faith Medical Clinic, PLLC's practice location on file with NPPES is 1619 4th Ave, Canyon, TX 79015-3824.
- What is Faith Medical Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Faith Medical Clinic, PLLC is (806) 557-4138.
- Does Faith Medical Clinic, PLLC accept Medicare?
- Faith Medical 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 Faith Medical Clinic, PLLC?
- The authorized official listed on Faith Medical Clinic, PLLC's NPPES record is Gloria Fuller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Faith Medical Clinic, PLLC's NPI active?
- Yes — Faith Medical Clinic, PLLC's NPI (1417368168) is active in the NPPES registry as of the last update on 2022-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.