GENTOX WELLNESS CLINIC LLC
NPI 1295450625
Nurse Practitioner - Psychiatric/Mental Health in Evansville, IN

Active since October 07, 2022CLIA 15D2256982 · Waiver
1602 N FARES AVE, EVANSVILLE, IN 47711(812) 437-3784 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Oct 7, 2022 (2 updates tracked since 2022).

About Gentox Wellness Clinic Llc NPPES

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

GENTOX WELLNESS CLINIC LLC (NPI 1295450625) is a healthcare organization registered as a psychiatric/mental health in Evansville, Indiana and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Milinda Middleton-bittner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295450625
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGENTOX WELLNESS CLINIC LLC
Location Address1602 N FARES AVEEvansville, IN 47711-3952
Mailing Address1602 N Fares AveEvansville, IN 47711-3952 · (812) 437-3784
Organization SubpartNo
Authorized OfficialMilinda Middleton-bittnerCeo · (812) 437-3784
Enumeration DateOctober 7, 2022
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1295450625 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
1602 N FARES AVE, Evansville, IN 47711

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Gentox Wellness Clinic Llc 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 Gentox Wellness Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1356827703
1602 N FARES AVE
Evansville, IN 47711
(812) 437-9355
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790918951
1602 N FARES AVE
Evansville, IN 47711
(812) 437-9355
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1780825182
101 N PLAZA EAST BLVD STE 320
Evansville, IN 47715
(812) 455-5541
✔ PECOS

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 15D2256982

Gentox LLC · Evansville, IN
Active · expires Mar 29, 2028
CLIA Number15D2256982
Laboratory TypeIndependent
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorMilinda Middleton-Bittner
Laboratory Phone(812) 437-3784
Laboratory LocationGentox LLC1602 N Fares Ave, Evansville, IN 47711
CLIA data matches this NPI record on: Address 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 Gentox Wellness Clinic LLC's NPI number?

The NPI number for Gentox Wellness Clinic LLC is 1295450625. It was assigned to this organization in the NPPES registry on October 7, 2022.

Where is Gentox Wellness Clinic LLC located?

Gentox Wellness Clinic LLC is located at 1602 N Fares Ave, Evansville, IN 47711. The listed phone number is (812) 437-3784.

What is Gentox Wellness Clinic LLC's specialty?

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

Is Gentox Wellness Clinic LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Gentox Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gentox Wellness Clinic LLC, in General Practice, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gentox Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2256982) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gentox Wellness Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Gentox Wellness Clinic LLC 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 Gentox Wellness Clinic LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.