1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Nurse Practitioner
  6. NPI Profile

MASTERMIND CLINIC PLLC
NPI 1285247486
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since August 26, 2020
5225 N ACADEMY BLVD # 305, COLORADO SPRINGS, CO 80918(719) 644-6463(844) 579-0123 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2025, Sep 15, 2025, May 3, 2022 and 1 more (4 updates tracked since 2020).

About Mastermind Clinic Pllc NPPES

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

MASTERMIND CLINIC PLLC (NPI 1285247486) is a healthcare organization registered as a psychiatric/mental health in Colorado Springs, Colorado and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Colorado Springs and lists Jennie Stormes, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1285247486
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMASTERMIND CLINIC PLLC
Location Address5225 N ACADEMY BLVD # 305Colorado Springs, CO 80918-4000
Mailing Address5225 N Academy Blvd # 305Colorado Springs, CO 80918-4000 · (719) 644-6463 · Fax (844) 579-0123
Phone(719) 644-6463
Fax(844) 579-0123
Organization SubpartNo
Authorized OfficialJennie StormesPmhnp-bc · (719) 644-6463
Enumeration DateAugust 26, 2020
Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1285247486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5225 N ACADEMY BLVD # 305, Colorado Springs, CO 80918
Open in Google Maps ↗

Secondary Practice Location 1

Location 1320 E Fontanero St Ste 301Colorado Springs, CO 80907-7526 · Phone (719) 479-9555 · Fax (844) 579-0123

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 MULTIPLE 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)

Mastermind Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mastermind Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jennie Stormes, MSN APN RXN PMHNP-BC
Nurse Practitioner
NPI 1053955500
5225 N ACADEMY BLVD # 305
Colorado Springs, CO 80918
(719) 644-6463
✔ PECOS✔ Accepts Medicare0.2 mi
Emilie Perdue, DNP APRN RXN PMHNP
Nurse Practitioner
NPI 1427872092
12760 STROH RANCH WAY STE 104
Parker, CO 80134
(720) 458-5413
✔ PECOS✔ Accepts Medicare40 mi
Melissa Menden, PMHNP-BC
Nurse Practitioner
NPI 1437880739
3095 WILSON CT
Denver, CO 80205
(303) 803-5726
✔ PECOS✔ Accepts Medicare60 mi

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 Mastermind Clinic PLLC's NPI number?

The NPI number for Mastermind Clinic PLLC is 1285247486. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Mastermind Clinic PLLC located?

Mastermind Clinic PLLC is located at 5225 N Academy Blvd # 305, Colorado Springs, CO 80918. The listed phone number is (719) 644-6463.

What is Mastermind Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mastermind Clinic PLLC enrolled in Medicare?

Yes. Mastermind Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mastermind Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mastermind Clinic PLLC. 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 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 Mastermind Clinic PLLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.