1. Home
  2. Directory
  3. Arizona
  4. Queen Creek
  5. Nurse Practitioner
  6. NPI Profile

SERENITY HEALTHY MINDS AND TELEMEDICINE WELLNESS LLC
NPI 1184413023
Nurse Practitioner - Psychiatric/Mental Health in Queen Creek, AZ

Active since May 06, 2025
24871 S ELLSWORTH RD, STE 100 PMB 146, QUEEN CREEK, AZ 85142(480) 979-8273 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, May 6, 2025 (2 updates tracked since 2025).

About Serenity Healthy Minds And Telemedicine Wellness Llc NPPES

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

SERENITY HEALTHY MINDS AND TELEMEDICINE WELLNESS LLC (NPI 1184413023) is a healthcare organization registered as a psychiatric/mental health in Queen Creek, Arizona and active in the NPI registry since May 2025. The organization lists Ethel Oluyemisi Winfunke-rochin, Owner, as its authorized official.

NPPES Registry Identity

NPI1184413023
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY HEALTHY MINDS AND TELEMEDICINE WELLNESS LLC
Location Address24871 S ELLSWORTH RD, STE 100 PMB 146Queen Creek, AZ 85142
Mailing Address24871 S Ellsworth Rd Ste 100Queen Creek, AZ 85142-1575
Phone(480) 979-8273
Organization SubpartNo
Authorized OfficialEthel Oluyemisi Winfunke-rochinOwner · (480) 508-0774
Enumeration DateMay 6, 2025
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1184413023 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
24871 S ELLSWORTH RD, Queen Creek, AZ 85142
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Serenity Healthy Minds And Telemedicine Wellness 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 Serenity Healthy Minds And Telemedicine Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ethel Winfunke, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1588052823
3271 E QUEEN CREEK RD STE 100
Gilbert, AZ 85297
(480) 593-3563
✔ 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 Serenity Healthy Minds And Telemedicine Wellness LLC's NPI number?

The NPI number for Serenity Healthy Minds And Telemedicine Wellness LLC is 1184413023. It was assigned to this organization in the NPPES registry on May 6, 2025.

Where is Serenity Healthy Minds And Telemedicine Wellness LLC located?

Serenity Healthy Minds And Telemedicine Wellness LLC is located at 24871 S Ellsworth Rd Ste 100 Pmb 146, Queen Creek, AZ 85142. The listed phone number is (480) 979-8273.

What is Serenity Healthy Minds And Telemedicine Wellness LLC's specialty?

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

Is Serenity Healthy Minds And Telemedicine Wellness LLC enrolled in Medicare?

Yes. Serenity Healthy Minds And Telemedicine Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Healthy Minds And Telemedicine Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serenity Healthy Minds And Telemedicine 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 Serenity Healthy Minds And Telemedicine Wellness LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.