MEDIWELL LLC
NPI 1053187179
Nurse Practitioner in Deland, FL
About Mediwell Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDIWELL LLC (NPI 1053187179) is a healthcare organization registered as a nurse practitioner in Deland, Florida and active in the NPI registry since November 2023. The organization lists Janet A Heron, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Mediwell Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mediwell LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Mediwell LLC's NPI number?
The NPI number for Mediwell LLC is 1053187179. It was assigned to this organization in the NPPES registry on November 29, 2023.
Where is Mediwell LLC located?
Mediwell LLC is located at 216 Jackson Loop, Deland, FL 32724. The listed phone number is (646) 346-4709.
What is Mediwell LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mediwell LLC enrolled in Medicare?
Yes. Mediwell LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mediwell LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mediwell 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mediwell LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mediwell Llc · NPI 1053187179
Nurse Practitioner organization in Deland, Florida. Organization record, active in the CMS NPPES registry since November 29, 2023.
## Identity
- **NPI:** 1053187179 (Entity type: Organization)
- **Enumerated:** November 29, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Janet Heron, OWNER
## Practice location
- **Address:** 216 JACKSON LOOP, Deland, FL 32724-3251
- **Phone:** (646) 346-4709 · **Fax:** (844) 749-3011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053187179) · Data from the CMS NPPES public registry.