WELLNESS STAR LLC
NPI 1043131162
Nurse Practitioner in Hemet, CA

Q: What is Wellness Star LLC's NPI number?

The NPI number for Wellness Star LLC is 1043131162. It was assigned to this organization in the NPPES registry on July 23, 2026.

Q: What is Wellness Star LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wellness Star LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2026

409 E THORNTON AVE APT W202, HEMET, CA 92543(111) 111-1111 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Wellness Star Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS STAR LLC (NPI 1043131162) is a healthcare organization registered as a nurse practitioner in Hemet, California and active in the NPI registry since July 2026. The organization lists Ikechukwu Nwabuobi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043131162

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWELLNESS STAR LLC

Location Address409 E THORNTON AVE APT W202Hemet, CA 92543-7657

Mailing Address409 E Thornton Ave Apt W202Hemet, CA 92543-7657

Phone(111) 111-1111

Organization SubpartNo

Authorized OfficialIkechukwu NwabuobiCeo · (909) 353-0117

Enumeration DateJuly 23, 2026

Last NPPES UpdateJuly 24, 2026

NPPES CertifiedJuly 24, 2026

✔ NPI 1043131162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

409 E THORNTON AVE APT W202, Hemet, CA 92543

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness Star Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellness Star LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ikechukwu Nwabuobi, NP

Nurse Practitioner

NPI 1083283634

72047 DINAH SHORE DR STE C4
Rancho Mirage, CA 92270

(760) 770-7600

✔ PECOS33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Star LLC's NPI number?

The NPI number for Wellness Star LLC is 1043131162. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is Wellness Star LLC located?

Wellness Star LLC is located at 409 E Thornton Ave Apt W202, Hemet, CA 92543. The listed phone number is (111) 111-1111.

What is Wellness Star LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Wellness Star LLC enrolled in Medicare?

Yes. Wellness Star LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Star LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wellness Star LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellness Star LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.