LUMINA WELLNESS GROUP LLC
NPI 1215748934
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pembroke Pines, FL

Active since January 14, 2025
737 NORTH WEST, 135TH AVENUE, PEMBROKE PINES, FL 33028(786) 200-7553 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2026, Feb 26, 2025 (2 updates tracked since 2025).

About Lumina Wellness Group Llc NPPES

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

LUMINA WELLNESS GROUP LLC (NPI 1215748934) is a healthcare organization registered as a mental health (including community mental health center) in Pembroke Pines, Florida and active in the NPI registry since January 2025. The organization lists Alexander Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1215748934
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLUMINA WELLNESS GROUP LLC
Location Address737 NORTH WEST, 135TH AVENUEPembroke Pines, FL 33028
Mailing Address2114 N Flamingo Rd # 5034Pembroke Pines, FL 33028-3501 · (786) 200-7553
Organization SubpartNo
Authorized OfficialAlexander StephensOwner · (786) 200-7553
Enumeration DateJanuary 14, 2025
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1215748934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
737 NORTH WEST, Pembroke Pines, FL 33028

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)

Lumina Wellness Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lumina Wellness Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1275374878
1333 W 37TH ST
Hialeah, FL 33012
(786) 838-7635
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1932674785
2828 S SEACREST BLVD STE 216
Boynton Beach, FL 33435
(561) 734-5080
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1811659758
6547 KENAVA LOOP
Palmetto, FL 34221
(941) 218-0175
✔ PECOS✔ Accepts Medicare171 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 Lumina Wellness Group LLC's NPI number?

The NPI number for Lumina Wellness Group LLC is 1215748934. It was assigned to this organization in the NPPES registry on January 14, 2025.

Where is Lumina Wellness Group LLC located?

Lumina Wellness Group LLC is located at 737 North West 135th Avenue, Pembroke Pines, FL 33028. The listed phone number is (786) 200-7553.

What is Lumina Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Lumina Wellness Group LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Lumina Wellness Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lumina Wellness Group 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 Lumina Wellness Group LLC was last updated on January 12, 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.