ENHANCED WELLNESS OF OAK GROVE, PLLC
NPI 1154564920
Nurse Practitioner - Family in Hattiesburg, MS
About Enhanced Wellness Of Oak Grove, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENHANCED WELLNESS OF OAK GROVE, PLLC (NPI 1154564920) is a healthcare organization registered as a family in Hattiesburg, Mississippi and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Betty Laura Ryba, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Enhanced Wellness Of Oak Grove, 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 Enhanced Wellness Of Oak Grove, 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 25D1096216
Enhanced Wellness Of Oak Grove PLLC · Hattiesburg, MSFrequently 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 Enhanced Wellness Of Oak Grove, PLLC's NPI number?
The NPI number for Enhanced Wellness Of Oak Grove, PLLC is 1154564920. It was assigned to this organization in the NPPES registry on April 9, 2009.
Where is Enhanced Wellness Of Oak Grove, PLLC located?
Enhanced Wellness Of Oak Grove, PLLC is located at 56 98 Place Blvd, Hattiesburg, MS 39402. The listed phone number is (601) 264-7286.
What is Enhanced Wellness Of Oak Grove, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Enhanced Wellness Of Oak Grove, PLLC enrolled in Medicare?
Yes. Enhanced Wellness Of Oak Grove, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Enhanced Wellness Of Oak Grove, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Enhanced Wellness Of Oak Grove, 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 Enhanced Wellness Of Oak Grove, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1096216) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Enhanced Wellness Of Oak Grove, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Enhanced Wellness Of Oak Grove, 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 Enhanced Wellness Of Oak Grove, PLLC was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Enhanced Wellness Of Oak Grove, Pllc · NPI 1154564920
Family organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since April 9, 2009.
## Identity
- **NPI:** 1154564920 (Entity type: Organization)
- **Enumerated:** April 9, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Betty Ryba, PROVIDER/OWNER
## Practice location
- **Address:** 56 98 PLACE BLVD, Hattiesburg, MS 39402-8603
- **Phone:** (601) 264-7286 · **Fax:** (601) 450-4640
## 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:** November 15, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1154564920) · Data from the CMS NPPES public registry.