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ENVISION ELITE WELLNESS
NPI 1104533603
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Active since November 03, 2022
50 CONGRESS ST STE 636, BOSTON, MA 02109(617) 916-6212 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Envision Elite Wellness NPPES

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

ENVISION ELITE WELLNESS (NPI 1104533603) is a healthcare organization registered as a psychiatric/mental health in Boston, Massachusetts and active in the NPI registry since November 2022. The organization lists Jan Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104533603
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameENVISION ELITE WELLNESS
Location Address50 CONGRESS ST STE 636Boston, MA 02109-4241
Mailing Address147 Jersey StMarblehead, MA 01945-1346 · (781) 910-4598
Phone(617) 916-6212
Organization SubpartNo
Authorized OfficialJan NelsonOwner · (781) 910-4598
Enumeration DateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1104533603 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
50 CONGRESS ST STE 636, Boston, MA 02109
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Other Names 1

Doing Business AsEnvision Elite Wellness

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASUNTA DERIENZO LMHC
Counselor (Mental Health)
50 CONGRESS ST STE 636
BOSTON, MA 02109
Suffolk County (617) 315-8941

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 Envision Elite Wellness's NPI number?

The NPI number for Envision Elite Wellness is 1104533603. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Envision Elite Wellness located?

Envision Elite Wellness is located at 50 Congress St Ste 636, Boston, MA 02109. The listed phone number is (617) 916-6212.

What is Envision Elite Wellness's specialty?

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

When was this NPI record last updated?

The NPPES record for Envision Elite Wellness was last updated on November 3, 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.