MAYSAH EHEALTH & WELLNESS LLC
NPI 1497525679
Nurse Practitioner - Family in Joliet, IL

Active since January 08, 2024
310 N HAMMES AVE STE 300B, JOLIET, IL 60435(815) 714-9933(949) 695-3321 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2024, Jun 13, 2024, May 2, 2024 (3 updates tracked since 2024).

About Maysah Ehealth & Wellness Llc NPPES

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

MAYSAH EHEALTH & WELLNESS LLC (NPI 1497525679) is a healthcare organization registered as a family in Joliet, Illinois and active in the NPI registry since January 2024. The organization lists Mutengwana Kasapu-mwaba, Owner, as its authorized official.

NPPES Registry Identity

NPI1497525679
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAYSAH EHEALTH & WELLNESS LLC
Location Address310 N HAMMES AVE STE 300BJoliet, IL 60435-7661
Mailing Address21349 Westminster LnShorewood, IL 60404-2501 · (815) 714-9933
Fax(949) 695-3321
Organization SubpartNo
Authorized OfficialMutengwana Kasapu-mwabaOwner · (678) 559-5065
Enumeration DateJanuary 8, 2024
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1497525679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
310 N HAMMES AVE STE 300B, Joliet, IL 60435

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Maysah Ehealth & 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 Maysah Ehealth & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1619480696
2025 S CHICAGO ST
Joliet, IL 60436
(815) 726-2200
✔ PECOS✔ Accepts Medicare3.9 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 Maysah Ehealth & Wellness LLC's NPI number?

The NPI number for Maysah Ehealth & Wellness LLC is 1497525679. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Maysah Ehealth & Wellness LLC located?

Maysah Ehealth & Wellness LLC is located at 310 N Hammes Ave Ste 300B, Joliet, IL 60435. The listed phone number is (815) 714-9933.

What is Maysah Ehealth & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maysah Ehealth & Wellness LLC enrolled in Medicare?

Yes. Maysah Ehealth & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maysah Ehealth & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Maysah Ehealth & 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 Maysah Ehealth & Wellness LLC was last updated on August 6, 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.