RENEWED WELLNESS LLC
NPI 1265915078
Nurse Practitioner - Family in Artesia, NM

Active since September 08, 2018
201 W RICHARDSON AVE, ARTESIA, NM 88210(575) 736-6222(575) 736-6311 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2020, Sep 8, 2018 (2 updates tracked since 2018).

About Renewed Wellness Llc NPPES

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

RENEWED WELLNESS LLC (NPI 1265915078), doing business as Renew Skin And Body Rejuvenation Llc, is a healthcare organization registered as a family in Artesia, New Mexico and active in the NPI registry since September 2018. The organization lists Stephanie L Jones, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1265915078
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRENEWED WELLNESS LLC
Location Address201 W RICHARDSON AVEArtesia, NM 88210-2458
Mailing Address201 W Richardson AveArtesia, NM 88210-2458 · (575) 736-6222 · Fax (575) 736-6311
Fax(575) 736-6311
Organization SubpartNo
Authorized OfficialStephanie L JonesCo-owner · (575) 736-6222
Enumeration DateSeptember 8, 2018
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1265915078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
201 W RICHARDSON AVE, Artesia, NM 88210

Other Names 1

Former Legal Business NameRenew Skin And Body Rejuvenation Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinician (1)

Nurse Practitioner
NPI 1326529728
201 W RICHARDSON AVE
Artesia, NM 88210
(575) 361-0529
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2156101

Renewed Wellness LLC · Artesia, NM
Expired · Oct 9, 2026
CLIA Number32D2156101
Laboratory TypePractitioner Other
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorStephanie L. Jones
Laboratory Phone(575) 736-6222
Laboratory LocationRenewed Wellness LLC201 W Richarson Ave, Artesia, NM 88210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Renewed Wellness LLC's NPI number?

The NPI number for Renewed Wellness LLC is 1265915078. It was assigned to this organization in the NPPES registry on September 8, 2018. The provider was formerly known as Renew Skin and Body Rejuvenation LLC.

Where is Renewed Wellness LLC located?

Renewed Wellness LLC is located at 201 W Richardson Ave, Artesia, NM 88210. The listed phone number is (575) 736-6222.

What is Renewed Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Renewed Wellness LLC enrolled in Medicare?

Yes. Renewed Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewed Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Renewed Wellness 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 Renewed Wellness LLC was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.