1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Nurse Practitioner
  6. NPI Profile

BEWELLNESS, LLC
NPI 1356137905
Nurse Practitioner - Family in Fort Collins, CO

Active since April 18, 2025
1315 OAKRIDGE DR STE 100, FORT COLLINS, CO 80525(970) 829-1129(949) 655-8678 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bewellness, Llc NPPES

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

BEWELLNESS, LLC (NPI 1356137905) is a healthcare organization registered as a family in Fort Collins, Colorado and active in the NPI registry since April 2025. The organization lists Jennifer E, Keller Deraad, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356137905
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBEWELLNESS, LLC
Location Address1315 OAKRIDGE DR STE 100Fort Collins, CO 80525-7338
Mailing Address1315 Oakridge Dr Ste 100Fort Collins, CO 80525-7338 · (970) 829-1129 · Fax (949) 655-8678
Phone(970) 829-1129
Fax(949) 655-8678
Organization SubpartNo
Authorized OfficialJennifer E, Keller DeraadCeo · (970) 829-1129
Enumeration DateApril 18, 2025
Last NPPES UpdateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1356137905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
1315 OAKRIDGE DR STE 100, Fort Collins, CO 80525
Open in Google Maps ↗

Other Identifiers 1

Medicaid1063793289OH

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGH REINEKE THERAPY, LLC
Social Worker (Clinical)
1315 OAKRIDGE DR STE 100
FORT COLLINS, CO 80525
Larimer County (970) 889-1910
MELISSA JOY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1315 OAKRIDGE DR STE 100
FORT COLLINS, CO 80525
Larimer County (970) 381-2676

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 Bewellness, LLC's NPI number?

The NPI number for Bewellness, LLC is 1356137905. It was assigned to this organization in the NPPES registry on April 18, 2025.

Where is Bewellness, LLC located?

Bewellness, LLC is located at 1315 Oakridge Dr Ste 100, Fort Collins, CO 80525. The listed phone number is (970) 829-1129.

What is Bewellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bewellness, LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.