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MIND BODY & HEALTH, LLC
NPI 1093472581
Nurse Practitioner - Psychiatric/Mental Health in Ashtabula, OH

Active since November 19, 2021
349 CENTER ST, ASHTABULA, OH 44004(440) 812-7108 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2023, Nov 19, 2021 (2 updates tracked since 2021).

About Mind Body & Health, Llc NPPES

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

MIND BODY & HEALTH, LLC (NPI 1093472581) is a healthcare organization registered as a psychiatric/mental health in Ashtabula, Ohio and active in the NPI registry since November 2021. The organization lists Vanessa Reyes, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093472581
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND BODY & HEALTH, LLC
Location Address349 CENTER STAshtabula, OH 44004-6901
Mailing Address349 Center StAshtabula, OH 44004-6901
Phone(440) 812-7108
Organization SubpartNo
Authorized OfficialVanessa ReyesPractice Manager · (440) 364-4741
Enumeration DateNovember 19, 2021
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1093472581 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
349 CENTER ST, Ashtabula, OH 44004
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Other Identifiers 4

Medicaid3090711OH
Medicaid0477297OH
Other900170792Priority Health - Vendor Number
OtherNP11405State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Body & Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20220224003065Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mind Body & Health, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debra Hoplight, FNP
Nurse Practitioner
NPI 1386969871
349 CENTER ST
Ashtabula, OH 44004
(440) 812-7108
✔ 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 Mind Body & Health, LLC's NPI number?

The NPI number for Mind Body & Health, LLC is 1093472581. It was assigned to this organization in the NPPES registry on November 19, 2021.

Where is Mind Body & Health, LLC located?

Mind Body & Health, LLC is located at 349 Center St, Ashtabula, OH 44004. The listed phone number is (440) 812-7108.

What is Mind Body & Health, LLC's specialty?

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

Is Mind Body & Health, LLC enrolled in Medicare?

Yes. Mind Body & Health, LLC is registered in the Medicare PECOS enrollment system.

When is Mind Body & Health, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mind Body & Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mind Body & Health, 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.

When was this NPI record last updated?

The NPPES record for Mind Body & Health, LLC was last updated on January 30, 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.