WELLNESS CONNECT GO BEYOND MEDICINE, LLC
NPI 1487203303
Family Medicine in Providence, RI

Q: What is Wellness Connect Go Beyond Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 04, 2019

655 BROAD ST STE 201, PROVIDENCE, RI 02907(401) 642-0100(833) 992-2318 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2020, May 19, 2020, Dec 8, 2019 and 2 more (5 updates tracked since 2019).

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About Wellness Connect Go Beyond Medicine, Llc NPPES

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

WELLNESS CONNECT GO BEYOND MEDICINE, LLC (NPI 1487203303) is a healthcare organization registered as a family medicine in Providence, Rhode Island and active in the NPI registry since September 2019. The organization lists Miriannys Rivas, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1487203303

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWELLNESS CONNECT GO BEYOND MEDICINE, LLC

Location Address655 BROAD ST STE 201Providence, RI 02907-1444

Mailing Address655 Broad St Ste 201Providence, RI 02907-1444 · (401) 642-0100

Phone(401) 642-0100

Fax(833) 992-2318

Organization SubpartNo

Authorized OfficialMiriannys RivasFnp-c · (401) 642-0100

Enumeration DateSeptember 4, 2019

Last NPPES UpdateJanuary 24, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1487203303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

655 BROAD ST STE 201, Providence, RI 02907

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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)

Wellness Connect Go Beyond Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wellness Connect Go Beyond Medicine, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Miriannys Rivas, FNP-C

Nurse Practitioner

NPI 1790240141

655 BROAD ST STE 201
Providence, RI 02907

(401) 390-0734

✔ PECOSSame address

Emilio Rodriguez-Peris, M.D.

Internal Medicine

NPI 1174619878

655 BROAD STREET SUITE 201
Providence, RI 02907

(401) 383-6748

✔ PECOSSame address

Arlinda Santos, FNP-C

Nurse Practitioner

NPI 1336769033

170 RHODES ST
Providence, RI 02903

(401) 390-0734

✔ PECOS0.8 mi

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 41D2195153

Wellness Connect Go Beyond Medicine, LLC · Providence, RI

Expired · Oct 6, 2026

CLIA Number41D2195153

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorMiriannys Rivas

Laboratory Phone(401) 642-0100

Laboratory LocationWellness Connect Go Beyond Medicine, LLC655 Broad St. Suite 201, Providence, RI 02907

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Wellness Connect Go Beyond Medicine, LLC's NPI number?

The NPI number for Wellness Connect Go Beyond Medicine, LLC is 1487203303. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Wellness Connect Go Beyond Medicine, LLC located?

Wellness Connect Go Beyond Medicine, LLC is located at 655 Broad St Ste 201, Providence, RI 02907. The listed phone number is (401) 642-0100.

What is Wellness Connect Go Beyond Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wellness Connect Go Beyond Medicine, LLC enrolled in Medicare?

Yes. Wellness Connect Go Beyond Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Connect Go Beyond Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wellness Connect Go Beyond Medicine, LLC, in Internal Medicine and Nurse Practitioner. 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, 2 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 Wellness Connect Go Beyond Medicine, LLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.