ROOTED WELLNESS OF COSHOCTON LLC
NPI 1386531259
Clinic/Center - Primary Care in Coshocton, OH
About Rooted Wellness Of Coshocton Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTED WELLNESS OF COSHOCTON LLC (NPI 1386531259) is a healthcare organization registered as a primary care in Coshocton, Ohio and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Dawn Ellen White, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rooted Wellness Of Coshocton 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 Rooted Wellness Of Coshocton 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.
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 36D2328794
Rooted Wellness Of Coshocton, LLC · Coshocton, OHFrequently 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 Rooted Wellness Of Coshocton LLC's NPI number?
The NPI number for Rooted Wellness Of Coshocton LLC is 1386531259. It was assigned to this organization in the NPPES registry on June 23, 2025.
Where is Rooted Wellness Of Coshocton LLC located?
Rooted Wellness Of Coshocton LLC is located at 1101 Chestnut St, Coshocton, OH 43812. The listed phone number is (740) 294-9223.
What is Rooted Wellness Of Coshocton LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Rooted Wellness Of Coshocton LLC enrolled in Medicare?
Yes. Rooted Wellness Of Coshocton LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rooted Wellness Of Coshocton LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rooted Wellness Of Coshocton 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.
Does Rooted Wellness Of Coshocton LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2328794) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rooted Wellness Of Coshocton LLC was last updated on October 1, 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.
# Rooted Wellness Of Coshocton Llc · NPI 1386531259
Primary Care organization in Coshocton, Ohio. Organization record, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1386531259 (Entity type: Organization)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Dawn White, NURSE PRACTITIONER
## Practice location
- **Address:** 1101 CHESTNUT ST, Coshocton, OH 43812-1323
- **Phone:** (740) 294-9223
## 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 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386531259) · Data from the CMS NPPES public registry.