GOLDLINE HEALTH AND WELLNESS LLC
NPI 1174149686
Nurse Practitioner - Psychiatric/Mental Health in Pawtucket, RI
About Goldline Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDLINE HEALTH AND WELLNESS LLC (NPI 1174149686) is a healthcare organization registered as a psychiatric/mental health in Pawtucket, Rhode Island and active in the NPI registry since June 2020. The organization lists Gold E Okoeka, Nurse Practitioner, 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)
Goldline Health And Wellness Llc 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 Goldline Health And Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Goldline Health And Wellness LLC's NPI number?
The NPI number for Goldline Health And Wellness LLC is 1174149686. It was assigned to this organization in the NPPES registry on June 20, 2020.
Where is Goldline Health And Wellness LLC located?
Goldline Health And Wellness LLC is located at 750 East Ave Lowr Level, Pawtucket, RI 02860. The listed phone number is (401) 433-9451.
What is Goldline Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Goldline Health And Wellness LLC enrolled in Medicare?
Yes. Goldline Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Goldline Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Goldline Health And Wellness 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.
When was this NPI record last updated?
The NPPES record for Goldline Health And Wellness LLC was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Goldline Health And Wellness Llc · NPI 1174149686
Psychiatric/Mental Health organization in Pawtucket, Rhode Island. Organization record, active in the CMS NPPES registry since June 20, 2020.
## Identity
- **NPI:** 1174149686 (Entity type: Organization)
- **Enumerated:** June 20, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Gold Okoeka, NURSE PRACTITIONER
## Practice location
- **Address:** 750 EAST AVE LOWR LEVEL, Pawtucket, RI 02860-6245
- **Phone:** (401) 433-9451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174149686) · Data from the CMS NPPES public registry.