MIND & BODY WELLNESS, PLLC
NPI 1134713159
Nurse Practitioner - Primary Care in Shelby, NC

Active since February 22, 2021
3603 W STAGE COACH TRL, SHELBY, NC 28150(910) 387-3840(704) 703-9668 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Jan 20, 2026, Apr 29, 2022 and 4 more (7 updates tracked since 2021).

About Mind & Body Wellness, Pllc NPPES

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

MIND & BODY WELLNESS, PLLC (NPI 1134713159) is a healthcare organization registered as a primary care in Shelby, North Carolina and active in the NPI registry since February 2021. The organization lists Leistey Elise Tindall, Owner, as its authorized official.

NPPES Registry Identity

NPI1134713159
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMIND & BODY WELLNESS, PLLC
Location Address3603 W STAGE COACH TRLShelby, NC 28150-9598
Mailing Address3603 W Stage Coach TrlShelby, NC 28150-9598 · (704) 476-9144 · Fax (704) 703-9668
Fax(704) 703-9668
Organization SubpartNo
Authorized OfficialLeistey Elise TindallOwner · (910) 387-3840
Enumeration DateFebruary 22, 2021
Last NPPES UpdateMay 29, 20267 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1134713159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3603 W STAGE COACH TRL, Shelby, NC 28150

Other Identifiers 1

Medicaid9032489075NC

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

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)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mind & Body Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1326588492
3603 W STAGE COACH TRL
Shelby, NC 28150
(910) 387-3840
✔ PECOSSame address
Nurse Practitioner
NPI 1144025370
220 13TH AVENUE PL NW
Hickory, NC 28601
(828) 328-5646
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1639872567
10620 PARK RD STE 208
Charlotte, NC 28210
(704) 360-3637
✔ PECOS50 mi
Nurse Practitioner
NPI 1073376950
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts Medicare50 mi
Registered Dietitian or Nutrition Professional
NPI 1619789211
206 SHEPARD DR
Linden, NC 28356
(706) 844-6791
162 mi
Nurse Practitioner
NPI 1790515575
100 E PINE ST STE 110
Orlando, FL 32801
(850) 603-2882
✔ PECOS472 mi
Clinical Social Worker
NPI 1316441637
5825 ARGERIAN DR STE 101
Wesley Chapel, FL 33545
(239) 690-6906
✔ PECOS494 mi
Nurse Practitioner
NPI 1427948900
4156 TYLER CT
Manhattan, KS 66502
(336) 736-9151
✔ PECOS857 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 Mind & Body Wellness, PLLC's NPI number?

The NPI number for Mind & Body Wellness, PLLC is 1134713159. It was assigned to this organization in the NPPES registry on February 22, 2021.

Where is Mind & Body Wellness, PLLC located?

Mind & Body Wellness, PLLC is located at 3603 W Stage Coach Trl, Shelby, NC 28150. The listed phone number is (910) 387-3840.

What is Mind & Body Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mind & Body Wellness, PLLC enrolled in Medicare?

Yes. Mind & Body Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind & Body Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Mind & Body Wellness, 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. The largest specialties are Nurse Practitioner (5), Clinical Social Worker (1) and Mental Health Counselor (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mind & Body Wellness, PLLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mind & Body Wellness, PLLC 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 Mind & Body Wellness, PLLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.