FREE STATE HEALTH AND WELLNESS, LLC
NPI 1093389744
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since May 17, 2021
365 W PATRICK ST FL 205, FREDERICK, MD 21701(240) 647-9049(240) 690-6095 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Mar 16, 2023, Mar 10, 2023 and 3 more (6 updates tracked since 2021).

About Free State Health And Wellness, Llc NPPES

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

FREE STATE HEALTH AND WELLNESS, LLC (NPI 1093389744) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since May 2021. The organization lists Melissa Ward, Owner, as its authorized official.

NPPES Registry Identity

NPI1093389744
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFREE STATE HEALTH AND WELLNESS, LLC
Location Address365 W PATRICK ST FL 205Frederick, MD 21701-5093
Mailing Address365 W Patrick St Fl 205Frederick, MD 21701-5093 · (240) 647-9049 · Fax (240) 690-6095
Fax(240) 690-6095
Organization SubpartYes
Authorized OfficialMelissa WardOwner · (240) 647-9049
Enumeration DateMay 17, 2021
Last NPPES UpdateAugust 14, 20266 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1093389744 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
365 W PATRICK ST FL 205, Frederick, MD 21701

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)

Free State Health And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Free State Health And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1841363702
365 W PATRICK ST FL 205
Frederick, MD 21701
(240) 647-9049
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568848687
365 W PATRICK ST FL 205
Frederick, MD 21701
(240) 647-9049
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518421973
5 N BENTZ ST
Frederick, MD 21701
(240) 647-9049
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1790482628
18615 PRESTON RD
Hagerstown, MD 21742
(304) 481-4627
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1447995030
1380 PROGRESS WAY STE 102
Eldersburg, MD 21784
(410) 795-0257
✔ PECOS25 mi
Nurse Practitioner
NPI 1356992564
43 COMMUNITY PL
Crownsville, MD 21032
(410) 975-0067
✔ PECOS✔ Accepts Medicare51 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 Free State Health And Wellness, LLC's NPI number?

The NPI number for Free State Health And Wellness, LLC is 1093389744. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Free State Health And Wellness, LLC located?

Free State Health And Wellness, LLC is located at 365 W Patrick St Fl 205, Frederick, MD 21701. The listed phone number is (240) 647-9049.

What is Free State Health And Wellness, LLC's specialty?

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

Is Free State Health And Wellness, LLC enrolled in Medicare?

Yes. Free State Health And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Free State Health And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Free State Health And 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Free State Health And Wellness, LLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.