DIABETES WELLNESS NP, PLLC
NPI 1083296057
Clinic/Center - Community Health in West Memphis, AR

Active since April 28, 2021
700 N MISSOURI ST STE 2, WEST MEMPHIS, AR 72301(870) 551-4409 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2022, Jun 8, 2022, Apr 28, 2021 (3 updates tracked since 2021).

About Diabetes Wellness Np, Pllc NPPES

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

DIABETES WELLNESS NP, PLLC (NPI 1083296057) is a healthcare organization registered as a community health in West Memphis, Arkansas and active in the NPI registry since April 2021. The organization lists Nykkia Sellers, President/owner, as its authorized official.

NPPES Registry Identity

NPI1083296057
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameDIABETES WELLNESS NP, PLLC
Location Address700 N MISSOURI ST STE 2West Memphis, AR 72301-3150
Mailing Address700 N Missouri St Ste 2West Memphis, AR 72301-3150 · (901) 249-0755
Organization SubpartNo
Authorized OfficialNykkia SellersPresident/owner · (901) 249-0755
Enumeration DateApril 28, 2021
Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1083296057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
700 N MISSOURI ST STE 2, West Memphis, AR 72301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diabetes Wellness Np, Pllc 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 Diabetes Wellness Np, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1134316250
700 N MISSOURI ST STE 2
West Memphis, AR 72301
(870) 551-4409
✔ 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.

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 Diabetes Wellness Np, PLLC's NPI number?

The NPI number for Diabetes Wellness Np, PLLC is 1083296057. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Diabetes Wellness Np, PLLC located?

Diabetes Wellness Np, PLLC is located at 700 N Missouri St Ste 2, West Memphis, AR 72301. The listed phone number is (870) 551-4409.

What is Diabetes Wellness Np, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Diabetes Wellness Np, PLLC enrolled in Medicare?

Yes. Diabetes Wellness Np, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diabetes Wellness Np, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Diabetes Wellness Np, PLLC. 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 Diabetes Wellness Np, PLLC was last updated on November 30, 2022. 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.