DYNAMIC TELEHEALTH LLC
NPI 1174305965
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, OH
About Dynamic Telehealth Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYNAMIC TELEHEALTH LLC (NPI 1174305965) is a healthcare organization registered as a psychiatric/mental health in Fairfield, Ohio and active in the NPI registry since October 2023. The organization lists Cheryl Anntoinette Wilkerson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dynamic Telehealth 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 Dynamic Telehealth LLC, 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.
Patient Reviews User submitted
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Review by Angela ***** May 11, 2025
5/5Frequently 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 Dynamic Telehealth LLC's NPI number?
The NPI number for Dynamic Telehealth LLC is 1174305965. It was assigned to this organization in the NPPES registry on October 17, 2023.
Where is Dynamic Telehealth LLC located?
Dynamic Telehealth LLC is located at 31 Stonegate Ct, Fairfield, OH 45014. The listed phone number is (513) 302-2820.
What is Dynamic Telehealth LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dynamic Telehealth LLC enrolled in Medicare?
Yes. Dynamic Telehealth LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dynamic Telehealth LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dynamic Telehealth 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 Dynamic Telehealth LLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dynamic Telehealth Llc · NPI 1174305965
Psychiatric/Mental Health organization in Fairfield, Ohio. Organization record, active in the CMS NPPES registry since October 17, 2023.
## Identity
- **NPI:** 1174305965 (Entity type: Organization)
- **Enumerated:** October 17, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Cheryl Wilkerson, PRESIDENT
## Practice location
- **Address:** 31 STONEGATE CT, Fairfield, OH 45014
- **Phone:** (513) 302-2820
## 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:** January 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174305965) · Data from the CMS NPPES public registry.