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AT PEACE WELLNESS LLC
NPI 1407437692
Nurse Practitioner in Willow Grove, PA

Active since April 19, 2021
1001 EASTON RD STE 104, WILLOW GROVE, PA 19090(267) 403-1475(877) 866-2051 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2023, Apr 19, 2021 (2 updates tracked since 2021).

About At Peace Wellness Llc NPPES

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

AT PEACE WELLNESS LLC (NPI 1407437692), doing business as Affinity Well Spa, is a healthcare organization registered as a nurse practitioner in Willow Grove, Pennsylvania and active in the NPI registry since April 2021. The organization maintains 2 additional practice locations and lists Ebony Chatmon, Owner, as its authorized official.

NPPES Registry Identity

NPI1407437692
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameAT PEACE WELLNESS LLC
Location Address1001 EASTON RD STE 104Willow Grove, PA 19090-2037
Mailing AddressPo Box 29718Elkins Park, PA 19027-0918 · (267) 403-1475
Phone(267) 403-1475
Fax(877) 866-2051
Organization SubpartNo
Authorized OfficialEbony ChatmonOwner · (267) 264-8926
Enumeration DateApril 19, 2021
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1407437692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1001 EASTON RD STE 104, Willow Grove, PA 19090
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Other Names 1

Doing Business AsAffinity Well Spa

Secondary Practice Locations 2

Location 11501 S Pinellas Ave Ste ATarpon Springs, FL 34689-1950 · Phone (267) 403-1475 · Fax (877) 866-2051
Location 2376 2nd Street PikeSouthampton, PA 18966-3834 · Phone (215) 315-8665

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

At Peace Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to At Peace Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ebony Chatmon
Nurse Practitioner
NPI 1578297313
1001 EASTON RD STE 104
Willow Grove, PA 19090
(267) 403-1475
✔ PECOS✔ Accepts MedicareSame address
Felicia Anyanwu, CRNP
Nurse Practitioner
NPI 1699922765
616 OLD YORK RD MINUTE CLINIC
Jenkintown, PA 19046
(215) 886-2923
✔ PECOS✔ Accepts Medicare3.7 mi
Augustina Fakiyesi
Nurse Practitioner
NPI 1013373786
2401 W CHELTENHAM AVE
Wyncote, PA 19095
(215) 444-7471
✔ PECOS✔ Accepts Medicare5.8 mi

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 At Peace Wellness LLC's NPI number?

The NPI number for At Peace Wellness LLC is 1407437692. It was assigned to this organization in the NPPES registry on April 19, 2021. The provider is doing business as Affinity Well Spa.

Where is At Peace Wellness LLC located?

At Peace Wellness LLC is located at 1001 Easton Rd Ste 104, Willow Grove, PA 19090. The listed phone number is (267) 403-1475.

What is At Peace Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is At Peace Wellness LLC enrolled in Medicare?

Yes. At Peace Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through At Peace Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to At Peace Wellness 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for At Peace Wellness LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.