GRATITUDE BEHAVIORAL HEALTH AND WELLNESS PA
NPI 1164300117
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since August 26, 2025
5656 BAYWATER DR, TAMPA, FL 33615(813) 435-9965(813) 212-5229 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gratitude Behavioral Health And Wellness Pa NPPES

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

GRATITUDE BEHAVIORAL HEALTH AND WELLNESS PA (NPI 1164300117) is a healthcare organization registered as a psychiatric/mental health in Tampa, Florida and active in the NPI registry since August 2025. The organization lists Sarah J Hordeyczuk, Owner, as its authorized official.

NPPES Registry Identity

NPI1164300117
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGRATITUDE BEHAVIORAL HEALTH AND WELLNESS PA
Location Address5656 BAYWATER DRTampa, FL 33615-3501
Mailing Address8635 W Hillsborough Ave # 316Tampa, FL 33615-3810 · (813) 435-9965 · Fax (813) 212-5229
Fax(813) 212-5229
Organization SubpartNo
Authorized OfficialSarah J HordeyczukOwner · (813) 435-9965
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1164300117 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
5656 BAYWATER DR, Tampa, FL 33615

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gratitude Behavioral Health And Wellness Pa 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 Gratitude Behavioral Health And Wellness PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1194130344
1437 S BELCHER RD
Clearwater, FL 33764
(727) 524-4464
✔ PECOS✔ Accepts Medicare9.6 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 Gratitude Behavioral Health And Wellness PA's NPI number?

The NPI number for Gratitude Behavioral Health And Wellness PA is 1164300117. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Gratitude Behavioral Health And Wellness PA located?

Gratitude Behavioral Health And Wellness PA is located at 5656 Baywater Dr, Tampa, FL 33615. The listed phone number is (813) 435-9965.

What is Gratitude Behavioral Health And Wellness PA's specialty?

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

Is Gratitude Behavioral Health And Wellness PA enrolled in Medicare?

Yes. Gratitude Behavioral Health And Wellness PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gratitude Behavioral Health And Wellness PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gratitude Behavioral Health And Wellness PA. 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 Gratitude Behavioral Health And Wellness PA was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.