WILD MAGNOLIA WELLNESS
NPI 1255820205
Community/Behavioral Health in Los Ranchos, NM
About Wild Magnolia Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILD MAGNOLIA WELLNESS (NPI 1255820205) is a healthcare organization registered as a community/behavioral health in Los Ranchos, New Mexico and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Albuquerque and lists Ashley Susan Mckenna, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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)
Wild Magnolia Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Wild Magnolia Wellness, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Wild Magnolia Wellness's NPI number?
The NPI number for Wild Magnolia Wellness is 1255820205. It was assigned to this organization in the NPPES registry on May 4, 2018.
Where is Wild Magnolia Wellness located?
Wild Magnolia Wellness is located at 6501 4th St NW Ste H-5, Los Ranchos, NM 87107. The listed phone number is (505) 274-0112.
What is Wild Magnolia Wellness's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Wild Magnolia Wellness enrolled in Medicare?
Yes. Wild Magnolia Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wild Magnolia Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Wild Magnolia Wellness. 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. The largest specialties are Clinical Social Worker (5) and Mental Health Counselor (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wild Magnolia Wellness was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wild Magnolia Wellness · NPI 1255820205
Community/Behavioral Health organization in Los Ranchos, New Mexico. Organization record, active in the CMS NPPES registry since May 4, 2018.
## Identity
- **NPI:** 1255820205 (Entity type: Organization)
- **Enumerated:** May 4, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Ashley Mckenna, OWNER
## Practice location
- **Address:** 6501 4TH ST NW STE H-5, Los Ranchos, NM 87107-5800
- **Phone:** (505) 274-0112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Mental Health Counselor (2); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2026
- **Other identifiers:** Medicaid 69256357 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1255820205) · Data from the CMS NPPES public registry.