EBENEZER WELLNESS CENTER INC
NPI 1265007207
Community/Behavioral Health in Doral, FL
About Ebenezer Wellness Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBENEZER WELLNESS CENTER INC (NPI 1265007207) is a healthcare organization registered as a community/behavioral health in Doral, Florida and active in the NPI registry since May 2021. The organization lists Indira Jimenez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Ebenezer Wellness Center Inc 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 Ebenezer Wellness Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice 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 Ebenezer Wellness Center Inc's NPI number?
The NPI number for Ebenezer Wellness Center Inc is 1265007207. It was assigned to this organization in the NPPES registry on May 21, 2021.
Where is Ebenezer Wellness Center Inc located?
Ebenezer Wellness Center Inc is located at 1200 NW 78th Ave Ste 210, Doral, FL 33126. The listed phone number is (786) 285-3438.
What is Ebenezer Wellness Center Inc's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Ebenezer Wellness Center Inc enrolled in Medicare?
Yes. Ebenezer Wellness Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ebenezer Wellness Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Ebenezer Wellness Center Inc, in Clinical Social Worker, Nurse Practitioner, Physical Therapist in Private Practice, Podiatry and Psychiatry. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ebenezer Wellness Center Inc accept?
Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Ebenezer Wellness Center Inc 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 Ebenezer Wellness Center Inc was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ebenezer Wellness Center Inc · NPI 1265007207
Community/Behavioral Health organization in Doral, Florida. Organization record, active in the CMS NPPES registry since May 21, 2021.
## Identity
- **NPI:** 1265007207 (Entity type: Organization)
- **Enumerated:** May 21, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Indira Jimenez, OWNER
## Practice location
- **Address:** 1200 NW 78TH AVE STE 210, Doral, FL 33126-1817
- **Phone:** (786) 285-3438
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (2), Clinical Social Worker (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1265007207) · Data from the CMS NPPES public registry.