MINDFUL CARE PLLC
NPI 1316701766
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, IA

Active since February 07, 2024
500 N 3RD ST STE 203, FAIRFIELD, IA 52556(641) 548-7177(641) 200-1975 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2026, Feb 7, 2024 (2 updates tracked since 2024).

About Mindful Care Pllc NPPES

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

MINDFUL CARE PLLC (NPI 1316701766) is a healthcare organization registered as a psychiatric/mental health in Fairfield, Iowa and active in the NPI registry since February 2024. The organization lists Lawrence Brickner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316701766
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL CARE PLLC
Location Address500 N 3RD ST STE 203Fairfield, IA 52556-2482
Mailing Address500 N 3rd St Ste 203Fairfield, IA 52556-2482 · (641) 548-7177 · Fax (641) 200-1975
Fax(641) 200-1975
Organization SubpartNo
Authorized OfficialLawrence BricknerOffice Manager · (682) 248-1752
Enumeration DateFebruary 7, 2024
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1316701766 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
500 N 3RD ST STE 203, Fairfield, IA 52556

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)

Mindful Care Pllc 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 Mindful Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1790499648
3421 CHEYENNE RANCH RD
Roanoke, TX 76262
(682) 390-9956
✔ PECOS✔ Accepts Medicare626 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 Mindful Care PLLC's NPI number?

The NPI number for Mindful Care PLLC is 1316701766. It was assigned to this organization in the NPPES registry on February 7, 2024.

Where is Mindful Care PLLC located?

Mindful Care PLLC is located at 500 N 3rd St Ste 203, Fairfield, IA 52556. The listed phone number is (641) 548-7177.

What is Mindful Care PLLC's specialty?

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

Is Mindful Care PLLC enrolled in Medicare?

Yes. Mindful Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Care PLLC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.