NURSE PRACTITIONER IN ADULT HEALTH WELLNESS SERVICES, PLLC
NPI 1396599213
Clinic/Center - Primary Care in Flushing, NY
About Nurse Practitioner In Adult Health Wellness Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NURSE PRACTITIONER IN ADULT HEALTH WELLNESS SERVICES, PLLC (NPI 1396599213), doing business as Renew Health Medical Wellness, is a healthcare organization registered as a primary care in Flushing, New York and active in the NPI registry since April 2024. The organization lists Lucy Liao, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Nurse Practitioner In Adult Health Wellness Services, Pllc 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 Nurse Practitioner In Adult Health Wellness Services, PLLC, 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 Nurse Practitioner In Adult Health Wellness Services, PLLC's NPI number?
The NPI number for Nurse Practitioner In Adult Health Wellness Services, PLLC is 1396599213. It was assigned to this organization in the NPPES registry on April 16, 2024. The provider is doing business as Renew Health Medical Wellness.
Where is Nurse Practitioner In Adult Health Wellness Services, PLLC located?
Nurse Practitioner In Adult Health Wellness Services, PLLC is located at 13620 38th Ave Ste 5A, Flushing, NY 11354. The listed phone number is (917) 385-0812.
What is Nurse Practitioner In Adult Health Wellness Services, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Nurse Practitioner In Adult Health Wellness Services, PLLC enrolled in Medicare?
Yes. Nurse Practitioner In Adult Health Wellness Services, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nurse Practitioner In Adult Health Wellness Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nurse Practitioner In Adult Health Wellness Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nurse Practitioner In Adult Health Wellness Services, PLLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nurse Practitioner In Adult Health Wellness Services, Pllc · NPI 1396599213
Primary Care organization in Flushing, New York. Organization record, active in the CMS NPPES registry since April 16, 2024.
## Identity
- **NPI:** 1396599213 (Entity type: Organization)
- **Enumerated:** April 16, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Renew Health Medical Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lucy Liao, NURSE PRACTITIONER
## Practice location
- **Address:** 13620 38TH AVE STE 5A, Flushing, NY 11354-4264
- **Phone:** (917) 385-0812
## 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:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396599213) · Data from the CMS NPPES public registry.