MINE DIVINE HEALTH LLC
NPI 1326913294
Nurse Practitioner - Psychiatric/Mental Health in Lees Summit, MO
About Mine Divine Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINE DIVINE HEALTH LLC (NPI 1326913294) is a healthcare organization registered as a psychiatric/mental health in Lees Summit, Missouri and active in the NPI registry since October 2025. The organization lists Adesuwa Obasogie, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mine Divine Health 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 Mine Divine Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mine Divine Health LLC's NPI number?
The NPI number for Mine Divine Health LLC is 1326913294. It was assigned to this organization in the NPPES registry on October 9, 2025.
Where is Mine Divine Health LLC located?
Mine Divine Health LLC is located at 132 SE Chelsea Ct # Lee, Lees Summit, MO 64063. The listed phone number is (816) 217-2076.
What is Mine Divine Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mine Divine Health LLC enrolled in Medicare?
Yes. Mine Divine Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mine Divine Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mine Divine Health 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 Mine Divine Health LLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mine Divine Health Llc · NPI 1326913294
Psychiatric/Mental Health organization in Lees Summit, Missouri. Organization record, active in the CMS NPPES registry since October 9, 2025.
## Identity
- **NPI:** 1326913294 (Entity type: Organization)
- **Enumerated:** October 9, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Adesuwa Obasogie, CEO/OWNER
## Practice location
- **Address:** 132 SE CHELSEA CT # LEE, Lees Summit, MO 64063-2472
- **Phone:** (816) 217-2076
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1326913294) · Data from the CMS NPPES public registry.