COMPLECARE WELLNESS LLC
NPI 1467129304
Nurse Practitioner - Psychiatric/Mental Health in Coral Springs, FL

Q: What is Complecare Wellness LLC's NPI number?

The NPI number for Complecare Wellness LLC is 1467129304. It was assigned to this organization in the NPPES registry on August 27, 2021. The provider is doing business as Renewed Vital Care Inc.

Q: What is Complecare Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 27, 2021

9900 W SAMPLE RD STE 203-51, CORAL SPRINGS, FL 33065(954) 866-0810(877) 552-0976 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2025, Jun 20, 2025, May 19, 2024 and 1 more (4 updates tracked since 2021).

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About Complecare Wellness Llc NPPES

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

COMPLECARE WELLNESS LLC (NPI 1467129304), doing business as Renewed Vital Care Inc, is a healthcare organization registered as a psychiatric/mental health in Coral Springs, Florida and active in the NPI registry since August 2021. The organization lists Roseline Raphael, Ceo/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1467129304

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCOMPLECARE WELLNESS LLC

Location Address9900 W SAMPLE RD STE 203-51Coral Springs, FL 33065-4048

Mailing Address8801 W Atlantic Blvd # 773714Coral Springs, FL 33071-7462 · (954) 866-0810 · Fax (877) 552-0946

Phone(954) 866-0810

Fax(877) 552-0976

Organization SubpartNo

Authorized OfficialRoseline RaphaelCeo/nurse Practitioner · (954) 866-0810

Enumeration DateAugust 27, 2021

Last NPPES UpdateJune 23, 20254 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1467129304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

9900 W SAMPLE RD STE 203-51, Coral Springs, FL 33065

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Other Names 1

Doing Business AsRenewed Vital Care Inc

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)

Complecare Wellness 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 Complecare Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roseline Raphael, DNP,FNP-BC, PMHNP-BC

Nurse Practitioner

NPI 1801249552

9900 W SAMPLE RD STE 300
Coral Springs, FL 33065

(954) 866-0810

✔ PECOS✔ Accepts MedicareSame address

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 Complecare Wellness LLC's NPI number?

The NPI number for Complecare Wellness LLC is 1467129304. It was assigned to this organization in the NPPES registry on August 27, 2021. The provider is doing business as Renewed Vital Care Inc.

Where is Complecare Wellness LLC located?

Complecare Wellness LLC is located at 9900 W Sample Rd Ste 203-51, Coral Springs, FL 33065. The listed phone number is (954) 866-0810.

What is Complecare Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Complecare Wellness LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Complecare Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Complecare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Complecare Wellness LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.