PROMIND LLC
NPI 1235002734
Nurse Practitioner in Rochester, MI

Q: What is Promind LLC's NPI number?

The NPI number for Promind LLC is 1235002734. It was assigned to this organization in the NPPES registry on September 29, 2025.

Q: What is Promind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Promind LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 29, 2025

5234 CREEKMONTE DR, ROCHESTER, MI 48306(810) 882-1458(754) 218-0872 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Promind Llc NPPES

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

PROMIND LLC (NPI 1235002734) is a healthcare organization registered as a nurse practitioner in Rochester, Michigan and active in the NPI registry since September 2025. The organization lists Linda Fares, Owner, as its authorized official.

NPPES Registry Identity

NPI1235002734

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROMIND LLC

Location Address5234 CREEKMONTE DRRochester, MI 48306-4794

Mailing Address1257 N Main StLapeer, MI 48446-1346 · (810) 882-1458 · Fax (754) 218-0872

Phone(810) 882-1458

Fax(754) 218-0872

Organization SubpartNo

Authorized OfficialLinda FaresOwner · (810) 882-1458

Enumeration DateSeptember 29, 2025

Last NPPES UpdateNovember 4, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1235002734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5234 CREEKMONTE DR, Rochester, MI 48306

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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)

Promind 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 Promind LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Linda Fares, FNP-C

Nurse Practitioner

NPI 1417512302

1257 N MAIN ST
Lapeer, MI 48446

(810) 882-1458

✔ PECOS24 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 Promind LLC's NPI number?

The NPI number for Promind LLC is 1235002734. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Promind LLC located?

Promind LLC is located at 5234 Creekmonte Dr, Rochester, MI 48306. The listed phone number is (810) 882-1458.

What is Promind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Promind LLC enrolled in Medicare?

Yes. Promind LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promind LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Promind 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 Promind LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.