WESTERN SKIES WELLNESS CENTER, LLC
NPI 1124754155
Clinic/Center - Primary Care in La Grande, OR

Active since August 01, 2022
1807 COVE AVE, LA GRANDE, OR 97850(541) 663-9008(541) 624-5454 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Aug 1, 2022 (2 updates tracked since 2022).

About Western Skies Wellness Center, Llc NPPES

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

WESTERN SKIES WELLNESS CENTER, LLC (NPI 1124754155) is a healthcare organization registered as a primary care in La Grande, Oregon and active in the NPI registry since August 2022. The organization lists Leon Ross Aylett, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124754155
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWESTERN SKIES WELLNESS CENTER, LLC
Location Address1807 COVE AVELa Grande, OR 97850-3516
Mailing Address1807 Cove AveLa Grande, OR 97850-3516 · (541) 663-9008 · Fax (541) 624-5454
Fax(541) 624-5454
Organization SubpartNo
Authorized OfficialLeon Ross AylettNurse Practitioner · (541) 663-9008
Enumeration DateAugust 1, 2022
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1124754155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1807 COVE AVE, La Grande, OR 97850

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Skies Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Western Skies Wellness Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1023909959
1807 COVE AVE
La Grande, OR 97850
(541) 663-9008
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467917187
110 ILLINOIS AVE
Council, ID 83612
(208) 849-3725
✔ PECOS✔ Accepts Medicare90 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 Western Skies Wellness Center, LLC's NPI number?

The NPI number for Western Skies Wellness Center, LLC is 1124754155. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Western Skies Wellness Center, LLC located?

Western Skies Wellness Center, LLC is located at 1807 Cove Ave, La Grande, OR 97850. The listed phone number is (541) 663-9008.

What is Western Skies Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Western Skies Wellness Center, LLC enrolled in Medicare?

Yes. Western Skies Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Skies Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Western Skies Wellness Center, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Western Skies Wellness Center, LLC accept?

Health plans from Moda Health Plan, Inc. list Western Skies Wellness Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Skies Wellness Center, LLC was last updated on June 12, 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.