FOUR SEASONS WELLNESS, PLLC
NPI 1366992323
Clinic/Center in Steele, ND
About Four Seasons Wellness, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR SEASONS WELLNESS, PLLC (NPI 1366992323) is a healthcare organization registered as a clinic/center in Steele, North Dakota and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Mandy Kaye Rath, Family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Seasons Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Four Seasons Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 35D2123268
Four Seasons Wellness, PLLC · Steele, NDFrequently 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 Four Seasons Wellness, PLLC's NPI number?
The NPI number for Four Seasons Wellness, PLLC is 1366992323. It was assigned to this organization in the NPPES registry on October 13, 2016.
Where is Four Seasons Wellness, PLLC located?
Four Seasons Wellness, PLLC is located at 110 W Broadway, Steele, ND 58482. The listed phone number is (701) 475-4488.
What is Four Seasons Wellness, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Four Seasons Wellness, PLLC enrolled in Medicare?
Yes. Four Seasons Wellness, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Four Seasons Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Four Seasons Wellness, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Four Seasons Wellness, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 35D2123268) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Four Seasons Wellness, PLLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Four Seasons Wellness, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Four Seasons Wellness, PLLC was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Four Seasons Wellness, Pllc · NPI 1366992323
Clinic/Center organization in Steele, North Dakota. Organization record, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1366992323 (Entity type: Organization)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Mandy Rath, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 110 W BROADWAY, Steele, ND 58482-7109
- **Phone:** (701) 475-4488 · **Fax:** (701) 540-6379
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2017
- **Other identifiers:** Medicaid 1386964138 (ND)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366992323) · Data from the CMS NPPES public registry.