AQUAMIND PSYCHIATRY PLLC
NPI 1083455992
Nurse Practitioner - Psychiatric/Mental Health in Fort Collins, CO

Active since June 04, 2024
1608 WHEDBEE ST, FORT COLLINS, CO 80525(404) 406-2763(970) 788-7279 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Aquamind Psychiatry Pllc NPPES

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

AQUAMIND PSYCHIATRY PLLC (NPI 1083455992), doing business as Aquamind Psych, is a healthcare organization registered as a psychiatric/mental health in Fort Collins, Colorado and active in the NPI registry since June 2024. The organization lists Rosa Cruz Kauffman, Owner, as its authorized official.

NPPES Registry Identity

NPI1083455992
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAQUAMIND PSYCHIATRY PLLC
Location Address1608 WHEDBEE STFort Collins, CO 80525-1045
Mailing Address1608 Whedbee StFort Collins, CO 80525-1045 · (404) 406-2763 · Fax (970) 788-7279
Fax(970) 788-7279
Organization SubpartNo
Authorized OfficialRosa Cruz KauffmanOwner · (404) 406-2763
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1083455992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1608 WHEDBEE ST, Fort Collins, CO 80525

Other Names 1

Doing Business AsAquamind Psych

Other Identifiers 1

Medicaid1457715831CO

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aquamind Psychiatry 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 Aquamind Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1457715831
1136 E STUART ST STE 4101
Fort Collins, CO 80525
(970) 235-0952
✔ PECOS✔ Accepts Medicare0.7 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 Aquamind Psychiatry PLLC's NPI number?

The NPI number for Aquamind Psychiatry PLLC is 1083455992. It was assigned to this organization in the NPPES registry on June 4, 2024. The provider is doing business as AquaMind Psych.

Where is Aquamind Psychiatry PLLC located?

Aquamind Psychiatry PLLC is located at 1608 Whedbee St, Fort Collins, CO 80525. The listed phone number is (404) 406-2763.

What is Aquamind Psychiatry PLLC's specialty?

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

Is Aquamind Psychiatry PLLC enrolled in Medicare?

Yes. Aquamind Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aquamind Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Aquamind Psychiatry 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 Aquamind Psychiatry PLLC was last updated on June 4, 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.