ELITE MIND AND BODY WELLNESS: MENTAL HEALTH AND PRIMARY CARE SERVICES,
NPI 1154147601
Nurse Practitioner - Psychiatric/Mental Health in Mesilla Park, NM

Active since December 02, 2024
519 SHILOH RD, MESILLA PARK, NM 88047(575) 644-6367 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elite Mind And Body Wellness: Mental Health And Primary Care Services, NPPES

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

ELITE MIND AND BODY WELLNESS: MENTAL HEALTH AND PRIMARY CARE SERVICES, (NPI 1154147601) is a healthcare organization registered as a psychiatric/mental health in Mesilla Park, New Mexico and active in the NPI registry since December 2024. The organization lists Marybeth A Pirrone, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154147601
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameELITE MIND AND BODY WELLNESS: MENTAL HEALTH AND PRIMARY CARE SERVICES,
Location Address519 SHILOH RDMesilla Park, NM 88047-9745
Mailing Address519 Shiloh RdMesilla Park, NM 88047-9745 · (575) 644-6367
Organization SubpartNo
Authorized OfficialMarybeth A PirroneOwner/authorized Official · (575) 644-6367
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 1, 2024
✔ NPI 1154147601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
519 SHILOH RD, Mesilla Park, NM 88047

Other Names 1

Doing Business AsElite Mind And Body Wellness: Mental Health And Primary Care Services,

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Mind And Body Wellness: Mental Health And Primary Care Services, 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 Elite Mind And Body Wellness: Mental Health And Primary Care Services,, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1710725973
519 SHILOH RD
Mesilla Park, NM 88047
(575) 644-6367
✔ 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 Elite Mind And Body Wellness: Mental Health And Primary Care Services,'s NPI number?

The NPI number for Elite Mind And Body Wellness: Mental Health And Primary Care Services, is 1154147601. It was assigned to this organization in the NPPES registry on December 2, 2024.

Where is Elite Mind And Body Wellness: Mental Health And Primary Care Services, located?

Elite Mind And Body Wellness: Mental Health And Primary Care Services, is located at 519 Shiloh Rd, Mesilla Park, NM 88047. The listed phone number is (575) 644-6367.

What is Elite Mind And Body Wellness: Mental Health And Primary Care Services,'s specialty?

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

Is Elite Mind And Body Wellness: Mental Health And Primary Care Services, enrolled in Medicare?

Yes. Elite Mind And Body Wellness: Mental Health And Primary Care Services, is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Mind And Body Wellness: Mental Health And Primary Care Services,?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Mind And Body Wellness: Mental Health And Primary Care Services,. 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 Elite Mind And Body Wellness: Mental Health And Primary Care Services, was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.