BODYWISE HEALTH COLLABORATIVE PLLC
NPI 1104658343
Nurse Practitioner - Family in Pittsfield, MA
About Bodywise Health Collaborative Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODYWISE HEALTH COLLABORATIVE PLLC (NPI 1104658343) is a healthcare organization registered as a family in Pittsfield, Massachusetts and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Molly Z. Rivest, Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bodywise Health Collaborative 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 Bodywise Health Collaborative PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2314181
Bodywise Health Collaborative, PLLC · Pittsfield, MAFrequently 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 Bodywise Health Collaborative PLLC's NPI number?
The NPI number for Bodywise Health Collaborative PLLC is 1104658343. It was assigned to this organization in the NPPES registry on August 16, 2024.
Where is Bodywise Health Collaborative PLLC located?
Bodywise Health Collaborative PLLC is located at 75 S Church St Ste 362, Pittsfield, MA 01201. The listed phone number is (413) 298-2420.
What is Bodywise Health Collaborative PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bodywise Health Collaborative PLLC enrolled in Medicare?
Yes. Bodywise Health Collaborative PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bodywise Health Collaborative PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bodywise Health Collaborative 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.
Does Bodywise Health Collaborative PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2314181) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bodywise Health Collaborative PLLC was last updated on August 16, 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.
# Bodywise Health Collaborative Pllc · NPI 1104658343
Family organization in Pittsfield, Massachusetts. Organization record, active in the CMS NPPES registry since August 16, 2024.
## Identity
- **NPI:** 1104658343 (Entity type: Organization)
- **Enumerated:** August 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Molly Rivest, NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 75 S CHURCH ST STE 362, Pittsfield, MA 01201-6157
- **Phone:** (413) 298-2420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104658343) · Data from the CMS NPPES public registry.