SULIS MIND AND BODY LLC
NPI 1528762390
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR
About Sulis Mind And Body Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SULIS MIND AND BODY LLC (NPI 1528762390) is a healthcare organization registered as a psychiatric/mental health in Coos Bay, Oregon and active in the NPI registry since March 2023. The organization lists Jamie Mayo, Pmhnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sulis Mind And Body 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 Sulis Mind And Body LLC, 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 Sulis Mind And Body LLC's NPI number?
The NPI number for Sulis Mind And Body LLC is 1528762390. It was assigned to this organization in the NPPES registry on March 28, 2023.
Where is Sulis Mind And Body LLC located?
Sulis Mind And Body LLC is located at 180 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 203-0154.
What is Sulis Mind And Body LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sulis Mind And Body LLC enrolled in Medicare?
Yes. Sulis Mind And Body LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sulis Mind And Body LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sulis Mind And Body 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.
What insurance does Sulis Mind And Body LLC accept?
Health plans from Blue Cross and Blue Shield of Montana and Moda Health Plan, Inc. list Sulis Mind And Body LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sulis Mind And Body LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sulis Mind And Body Llc · NPI 1528762390
Psychiatric/Mental Health organization in Coos Bay, Oregon. Organization record, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1528762390 (Entity type: Organization)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jamie Mayo, PMHNP
## Practice location
- **Address:** 180 S EMPIRE BLVD, Coos Bay, OR 97420-3352
- **Phone:** (541) 203-0154
## 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 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528762390) · Data from the CMS NPPES public registry.