WELLNESS360 PRIMARY CARE
NPI 1154172773
Internal Medicine in Port Saint Lucie, FL
About Wellness360 Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLNESS360 PRIMARY CARE (NPI 1154172773) is a healthcare organization registered as an internal medicine in Port Saint Lucie, Florida and active in the NPI registry since April 2024. The organization lists Yohanna Deno, 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)
Wellness360 Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wellness360 Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Port Saint Lucie, FL 34986
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 Wellness360 Primary Care's NPI number?
The NPI number for Wellness360 Primary Care is 1154172773. It was assigned to this organization in the NPPES registry on April 1, 2024.
Where is Wellness360 Primary Care located?
Wellness360 Primary Care is located at 1700 SE Hillmoor Dr Ste 305, Port Saint Lucie, FL 34952. The listed phone number is (772) 292-8188.
What is Wellness360 Primary Care's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wellness360 Primary Care enrolled in Medicare?
Yes. Wellness360 Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellness360 Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wellness360 Primary Care, in Internal Medicine and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellness360 Primary Care was last updated on April 1, 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.
# Wellness360 Primary Care · NPI 1154172773
Internal Medicine organization in Port Saint Lucie, Florida. Organization record, active in the CMS NPPES registry since April 1, 2024.
## Identity
- **NPI:** 1154172773 (Entity type: Organization)
- **Enumerated:** April 1, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Yohanna Deno, OWNER
## Practice location
- **Address:** 1700 SE HILLMOOR DR STE 305, Port Saint Lucie, FL 34952-7536
- **Phone:** (772) 292-8188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154172773) · Data from the CMS NPPES public registry.