RADIANT HEALTH & WELLNESS CLINIC LLC
NPI 1235966870
Clinic/Center - Primary Care in Midwest City, OK

Active since September 17, 2024
215 N MIDWEST BLVD, MIDWEST CITY, OK 73110(405) 973-5284 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2024, Sep 17, 2024 (2 updates tracked since 2024).

About Radiant Health & Wellness Clinic Llc NPPES

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

RADIANT HEALTH & WELLNESS CLINIC LLC (NPI 1235966870) is a healthcare organization registered as a primary care in Midwest City, Oklahoma and active in the NPI registry since September 2024. The organization lists Hasina Johnson, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1235966870
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRADIANT HEALTH & WELLNESS CLINIC LLC
Location Address215 N MIDWEST BLVDMidwest City, OK 73110-4320
Mailing AddressPo Box 18144Oklahoma City, OK 73154-0144
Organization SubpartNo
Authorized OfficialHasina JohnsonFamily Nurse Practitioner · (405) 973-5284
Enumeration DateSeptember 17, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1235966870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
215 N MIDWEST BLVD, Midwest City, OK 73110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiant Health & Wellness Clinic 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 Radiant Health & Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1669732061
215 N MIDWEST BLVD
Midwest City, OK 73110
(405) 455-5330
✔ 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 Radiant Health & Wellness Clinic LLC's NPI number?

The NPI number for Radiant Health & Wellness Clinic LLC is 1235966870. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Radiant Health & Wellness Clinic LLC located?

Radiant Health & Wellness Clinic LLC is located at 215 N Midwest Blvd, Midwest City, OK 73110. The listed phone number is (405) 973-5284.

What is Radiant Health & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Radiant Health & Wellness Clinic LLC enrolled in Medicare?

Yes. Radiant Health & Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiant Health & Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Radiant Health & Wellness Clinic 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.

What insurance does Radiant Health & Wellness Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Radiant Health & Wellness Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Radiant Health & Wellness Clinic LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.