PHOENIX HEALTH & WELLNESS NURSING CORP
NPI 1295615094
Nurse Practitioner in Palm Desert, CA

Q: What is Phoenix Health & Wellness Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 03, 2025

73845 VAN GOGH DR, PALM DESERT, CA 92211(442) 353-0488 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Phoenix Health & Wellness Nursing Corp NPPES

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

PHOENIX HEALTH & WELLNESS NURSING CORP (NPI 1295615094) is a healthcare organization registered as a nurse practitioner in Palm Desert, California and active in the NPI registry since September 2025. The organization lists Russell Simon, Owner, as its authorized official.

NPPES Registry Identity

NPI1295615094

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePHOENIX HEALTH & WELLNESS NURSING CORP

Location Address73845 VAN GOGH DRPalm Desert, CA 92211-4523

Mailing AddressPo Box 1144Rancho Mirage, CA 92270-1144

Phone(442) 353-0488

Organization SubpartNo

Authorized OfficialRussell SimonOwner · (442) 353-0488

Enumeration DateSeptember 3, 2025

NPPES CertifiedSeptember 3, 2025

✔ NPI 1295615094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

73845 VAN GOGH DR, Palm Desert, CA 92211

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Health & Wellness Nursing Corp 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 Phoenix Health & Wellness Nursing Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Russell Simon, DNP, NP-C

Nurse Practitioner

NPI 1659624948

4050 AIRPORT CENTER DR STE B2
Palm Springs, CA 92264

(760) 674-7188

✔ PECOS7.6 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 Phoenix Health & Wellness Nursing Corp's NPI number?

The NPI number for Phoenix Health & Wellness Nursing Corp is 1295615094. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is Phoenix Health & Wellness Nursing Corp located?

Phoenix Health & Wellness Nursing Corp is located at 73845 Van Gogh Dr, Palm Desert, CA 92211. The listed phone number is (442) 353-0488.

What is Phoenix Health & Wellness Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Phoenix Health & Wellness Nursing Corp enrolled in Medicare?

Yes. Phoenix Health & Wellness Nursing Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Health & Wellness Nursing Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phoenix Health & Wellness Nursing Corp. 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 Phoenix Health & Wellness Nursing Corp was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.