ONE BEAUTIFUL MIND L.L.C.
NPI 1043803133
Nurse Practitioner - Psychiatric/Mental Health in Orlando, FL

Active since February 19, 2021
1317 EDGEWATER DR # 1973, ORLANDO, FL 32804(407) 254-7593 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About One Beautiful Mind L.l.c. NPPES

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

ONE BEAUTIFUL MIND L.L.C. (NPI 1043803133) is a healthcare organization registered as a psychiatric/mental health in Orlando, Florida and active in the NPI registry since February 2021. The organization lists Anita Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1043803133
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameONE BEAUTIFUL MIND L.L.C.
Location Address1317 EDGEWATER DR # 1973Orlando, FL 32804-6350
Mailing Address1232 Tallow RdApopka, FL 32703-8443 · (407) 247-4772
Organization SubpartNo
Authorized OfficialAnita MartinOwner · (407) 247-4772
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1043803133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1317 EDGEWATER DR # 1973, Orlando, FL 32804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

One Beautiful Mind L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20210429000734Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to One Beautiful Mind L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1467574699
520 W LAKE MARY BLVD STE 214
Sanford, FL 32773
(800) 614-4124
✔ PECOS✔ Accepts Medicare15 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 One Beautiful Mind L.L.C.'s NPI number?

The NPI number for One Beautiful Mind L.L.C. is 1043803133. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is One Beautiful Mind L.L.C. located?

One Beautiful Mind L.L.C. is located at 1317 Edgewater Dr # 1973, Orlando, FL 32804. The listed phone number is (407) 254-7593.

What is One Beautiful Mind L.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is One Beautiful Mind L.L.C. enrolled in Medicare?

Yes. One Beautiful Mind L.L.C. is registered in the Medicare PECOS enrollment system.

When is One Beautiful Mind L.L.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through One Beautiful Mind L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to One Beautiful Mind L.L.C.. 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 One Beautiful Mind L.L.C. was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.