EMBRASE, LLC
NPI 1053008508
Clinic/Center - Primary Care in London, KY
About Embrase, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMBRASE, LLC (NPI 1053008508), doing business as Embrase Med Spa, is a healthcare organization registered as a primary care in London, Kentucky and active in the NPI registry since April 2023. The organization lists Dale Slusser, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Embrase, 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 Embrase, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Embrase, LLC's NPI number?
The NPI number for Embrase, LLC is 1053008508. It was assigned to this organization in the NPPES registry on April 24, 2023. The provider is doing business as Embrase Med Spa.
Where is Embrase, LLC located?
Embrase, LLC is located at 202 N Hill St, London, KY 40741. The listed phone number is (606) 260-8811.
What is Embrase, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Embrase, LLC enrolled in Medicare?
Yes. Embrase, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Embrase, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Embrase, 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 Embrase, LLC was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Embrase, Llc · NPI 1053008508
Primary Care organization in London, Kentucky. Organization record, active in the CMS NPPES registry since April 24, 2023.
## Identity
- **NPI:** 1053008508 (Entity type: Organization)
- **Enumerated:** April 24, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Embrase Med Spa (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dale Slusser, OFFICE MANAGER
## Practice location
- **Address:** 202 N HILL ST, London, KY 40741-1360
- **Phone:** (606) 260-8811 · **Fax:** (606) 260-8812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053008508) · Data from the CMS NPPES public registry.