EASTERN SHORE MEDICAL CENTER MENTAL HEALTH & WELLNESS, LLC
NPI 1073330551
Nurse Practitioner - Psychiatric/Mental Health in Salisbury, MD

Active since September 25, 2024CLIA 21D2088723 · Waiver
914A EASTERN SHORE DR, SALISBURY, MD 21804(410) 546-1331(410) 543-8107 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Shore Medical Center Mental Health & Wellness, Llc NPPES

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

EASTERN SHORE MEDICAL CENTER MENTAL HEALTH & WELLNESS, LLC (NPI 1073330551) is a healthcare organization registered as a psychiatric/mental health in Salisbury, Maryland and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Yogesh Vohra, Owner, as its authorized official.

NPPES Registry Identity

NPI1073330551
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEASTERN SHORE MEDICAL CENTER MENTAL HEALTH & WELLNESS, LLC
Location Address914A EASTERN SHORE DRSalisbury, MD 21804-6410
Mailing Address914a Eastern Shore DrSalisbury, MD 21804-6410 · (410) 546-1331 · Fax (410) 543-8107
Fax(410) 543-8107
Organization SubpartNo
Authorized OfficialYogesh VohraOwner · (410) 546-1331
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1073330551 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
914A EASTERN SHORE DR, Salisbury, MD 21804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Shore Medical Center Mental Health & Wellness, 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 Eastern Shore Medical Center Mental Health & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1811374515
914A EASTERN SHORE DR
Salisbury, MD 21804
(410) 546-1331
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2088723

Eastern Shore Medical Center · Salisbury, MD
Active · expires Dec 16, 2026
CLIA Number21D2088723
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorDr. Yogesh Vohra
Laboratory Phone(410) 546-1331
Laboratory LocationEastern Shore Medical Center914 A Eastern Shore Drive, Salisbury, MD 21804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eastern Shore Medical Center Mental Health & Wellness, LLC's NPI number?

The NPI number for Eastern Shore Medical Center Mental Health & Wellness, LLC is 1073330551. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Eastern Shore Medical Center Mental Health & Wellness, LLC located?

Eastern Shore Medical Center Mental Health & Wellness, LLC is located at 914A Eastern Shore Dr, Salisbury, MD 21804. The listed phone number is (410) 546-1331.

What is Eastern Shore Medical Center Mental Health & Wellness, LLC's specialty?

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

Is Eastern Shore Medical Center Mental Health & Wellness, LLC enrolled in Medicare?

Yes. Eastern Shore Medical Center Mental Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Medical Center Mental Health & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eastern Shore Medical Center Mental Health & Wellness, 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.

Does Eastern Shore Medical Center Mental Health & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2088723) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Shore Medical Center Mental Health & Wellness, LLC was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.