Elite Wellness Clinic PLLC
NPI 1508692625 · Family Nurse Practitioner · Desoto, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Wellness Clinic PLLC is a Family Nurse Practitioner organization in Desoto, TX (NPI 1508692625).
Provider details
- NPI number
- 1508692625
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Folake-Tolani Iheanacho, Owner(972) 217-0881
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
1 yr 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
- 2024-09-13
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Elite Wellness Clinic PLLC's NPI number?
- Elite Wellness Clinic PLLC's National Provider Identifier (NPI) is 1508692625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Wellness Clinic PLLC?
- Elite Wellness Clinic PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Elite Wellness Clinic PLLC located?
- Elite Wellness Clinic PLLC's practice location on file with NPPES is 104 Lion St Ste C, Desoto, TX 75115-5071.
- What is Elite Wellness Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Wellness Clinic PLLC is (972) 217-0881.
- Does Elite Wellness Clinic PLLC accept Medicare?
- Elite Wellness 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 Elite Wellness Clinic PLLC?
- The authorized official listed on Elite Wellness Clinic PLLC's NPPES record is Folake-Tolani Iheanacho, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Wellness Clinic PLLC's NPI active?
- Yes — Elite Wellness Clinic PLLC's NPI (1508692625) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.