RENEW MINDCARE LLC
NPI 1336084904
Nurse Practitioner - Psychiatric/Mental Health in Port Saint Lucie, FL
About Renew Mindcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEW MINDCARE LLC (NPI 1336084904) is a healthcare organization registered as a psychiatric/mental health in Port Saint Lucie, Florida and active in the NPI registry since April 2026. The organization lists Nicola Osborne, Authorized Official, 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)
Renew Mindcare 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 Renew Mindcare 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 Renew Mindcare LLC's NPI number?
The NPI number for Renew Mindcare LLC is 1336084904. It was assigned to this organization in the NPPES registry on April 21, 2026.
Where is Renew Mindcare LLC located?
Renew Mindcare LLC is located at 11582 SW Village Pkwy, Port Saint Lucie, FL 34987. The listed phone number is (954) 507-7820.
What is Renew Mindcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Renew Mindcare LLC enrolled in Medicare?
Yes. Renew Mindcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renew Mindcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Renew Mindcare 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 Renew Mindcare LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Renew Mindcare Llc · NPI 1336084904
Psychiatric/Mental Health organization in Port Saint Lucie, Florida. Organization record, active in the CMS NPPES registry since April 21, 2026.
## Identity
- **NPI:** 1336084904 (Entity type: Organization)
- **Enumerated:** April 21, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Nicola Osborne, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 11582 SW VILLAGE PKWY, Port Saint Lucie, FL 34987-2392
- **Phone:** (954) 507-7820
## 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:** July 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336084904) · Data from the CMS NPPES public registry.