Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BANYAN TREE MIND & WELLNESS LLC
NPI 1215873690
Nurse Practitioner - Psychiatric/Mental Health in Rio Rancho, NM

Q: What is Banyan Tree Mind & Wellness LLC's NPI number?

The NPI number for Banyan Tree Mind & Wellness LLC is 1215873690. It was assigned to this organization in the NPPES registry on April 27, 2026.

Q: What is Banyan Tree Mind & Wellness LLC's specialty?

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

Active since April 27, 2026

1740 GRANDE BLVD SE STE B2, RIO RANCHO, NM 87124(505) 551-5553(949) 864-1692 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Apr 27, 2026 (2 updates tracked since 2026).

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About Banyan Tree Mind & Wellness Llc NPPES

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

BANYAN TREE MIND & WELLNESS LLC (NPI 1215873690) is a healthcare organization registered as a psychiatric/mental health in Rio Rancho, New Mexico and active in the NPI registry since April 2026. The organization lists Mary Ruffaner Hanson, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1215873690

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBANYAN TREE MIND & WELLNESS LLC

Location Address1740 GRANDE BLVD SE STE B2Rio Rancho, NM 87124-1799

Mailing Address1740 Grande Blvd Se Ste B2Rio Rancho, NM 87124-1799 · (505) 551-5553 · Fax (575) 733-8158

Phone(505) 551-5553

Fax(949) 864-1692

Organization SubpartNo

Authorized OfficialMary Ruffaner HansonPmhnp-bc · (505) 551-5553

Enumeration DateApril 27, 2026

Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1215873690 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

1740 GRANDE BLVD SE STE B2, Rio Rancho, NM 87124

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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)

Banyan Tree Mind & 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 Banyan Tree Mind & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Hanson, CNP-BC (PMHNP)

Nurse Practitioner

NPI 1295578847

1740 GRANDE BLVD SE STE B2
Rio Rancho, NM 87124

(505) 551-5553

✔ PECOS✔ Accepts MedicareSame address

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 Banyan Tree Mind & Wellness LLC's NPI number?

The NPI number for Banyan Tree Mind & Wellness LLC is 1215873690. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Banyan Tree Mind & Wellness LLC located?

Banyan Tree Mind & Wellness LLC is located at 1740 Grande Blvd SE Ste B2, Rio Rancho, NM 87124. The listed phone number is (505) 551-5553.

What is Banyan Tree Mind & Wellness LLC's specialty?

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

Is Banyan Tree Mind & Wellness LLC enrolled in Medicare?

Yes. Banyan Tree Mind & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banyan Tree Mind & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Banyan Tree Mind & 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 Banyan Tree Mind & Wellness LLC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.