WELLNESS DIRECT LLC
NPI 1154844009
Nurse Practitioner - Psychiatric/Mental Health in Cedar Grove, NJ

Active since July 24, 2017
1425 POMPTON AVE, CEDAR GROVE, NJ 07009(973) 464-7139 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellness Direct Llc NPPES

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

WELLNESS DIRECT LLC (NPI 1154844009) is a healthcare organization registered as a psychiatric/mental health in Cedar Grove, New Jersey and active in the NPI registry since July 2017. The organization lists Linda O Winful, Apn, as its authorized official.

NPPES Registry Identity

NPI1154844009
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLNESS DIRECT LLC
Location Address1425 POMPTON AVECedar Grove, NJ 07009-1043
Mailing Address51 Cedar AveMontclair, NJ 07042-2446
Organization SubpartNo
Authorized OfficialLinda O WinfulApn · (973) 464-7139
Enumeration DateJuly 24, 2017
✔ NPI 1154844009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00654700
1425 POMPTON AVE, Cedar Grove, NJ 07009

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Wellness Direct Llc 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 Wellness Direct LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1649703299
51 CEDAR AVE
Montclair, NJ 07042
(973) 464-7139
✔ PECOS✔ Accepts Medicare5.7 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 Wellness Direct LLC's NPI number?

The NPI number for Wellness Direct LLC is 1154844009. It was assigned to this organization in the NPPES registry on July 24, 2017.

Where is Wellness Direct LLC located?

Wellness Direct LLC is located at 1425 Pompton Ave, Cedar Grove, NJ 07009. The listed phone number is (973) 464-7139.

What is Wellness Direct LLC's specialty?

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

Is Wellness Direct LLC enrolled in Medicare?

Yes. Wellness Direct LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Direct LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wellness Direct 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wellness Direct LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Wellness Direct 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 Wellness Direct LLC was last updated on July 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.