MIND BODY BEAUTY
NPI 1245002690
Nurse Practitioner - Psychiatric/Mental Health in Wartburg, TN
About Mind Body Beauty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND BODY BEAUTY (NPI 1245002690) is a healthcare organization registered as a psychiatric/mental health in Wartburg, Tennessee and active in the NPI registry since October 2023. The organization lists Amanda Walls, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mind Body Beauty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mind Body Beauty, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Mind Body Beauty's NPI number?
The NPI number for Mind Body Beauty is 1245002690. It was assigned to this organization in the NPPES registry on October 27, 2023.
Where is Mind Body Beauty located?
Mind Body Beauty is located at 950 Main St Ste E, Wartburg, TN 37887. The listed phone number is (865) 410-4611.
What is Mind Body Beauty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mind Body Beauty enrolled in Medicare?
Yes. Mind Body Beauty is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Body Beauty?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mind Body Beauty, in Mental Health Counselor and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mind Body Beauty was last updated on October 27, 2023. 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.
# Mind Body Beauty · NPI 1245002690
Psychiatric/Mental Health organization in Wartburg, Tennessee. Organization record, active in the CMS NPPES registry since October 27, 2023.
## Identity
- **NPI:** 1245002690 (Entity type: Organization)
- **Enumerated:** October 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Amanda Walls, OWNER
## Practice location
- **Address:** 950 MAIN ST STE E, Wartburg, TN 37887-4310
- **Phone:** (865) 410-4611
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Mental Health Counselor (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245002690) · Data from the CMS NPPES public registry.