MB COMMUNITY WELLNESS PROVIDER LLC
NPI 1225909377
Nurse Practitioner - Family in Vero Beach, FL

Active since September 12, 2025
885 33RD AVE, VERO BEACH, FL 32960(772) 047-3726 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mb Community Wellness Provider Llc NPPES

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

MB COMMUNITY WELLNESS PROVIDER LLC (NPI 1225909377) is a healthcare organization registered as a family in Vero Beach, Florida and active in the NPI registry since September 2025. The organization lists Al Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1225909377
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMB COMMUNITY WELLNESS PROVIDER LLC
Location Address885 33RD AVEVero Beach, FL 32960-4090
Mailing Address885 33rd AveVero Beach, FL 32960-4090 · (772) 047-3726
Organization SubpartNo
Authorized OfficialAl BerryManager · (469) 915-4211
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1225909377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
885 33RD AVE, Vero Beach, FL 32960

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)

Mb Community Wellness Provider 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 Mb Community Wellness Provider LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588427520
885 33RD AVE
Vero Beach, FL 32960
(772) 473-7260
✔ PECOSSame 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 Mb Community Wellness Provider LLC's NPI number?

The NPI number for Mb Community Wellness Provider LLC is 1225909377. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Mb Community Wellness Provider LLC located?

Mb Community Wellness Provider LLC is located at 885 33rd Ave, Vero Beach, FL 32960. The listed phone number is (772) 047-3726.

What is Mb Community Wellness Provider LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mb Community Wellness Provider LLC enrolled in Medicare?

Yes. Mb Community Wellness Provider LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mb Community Wellness Provider LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mb Community Wellness Provider 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 Mb Community Wellness Provider LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.