MOMENTUM BEHAVIORAL HEALTH GROUP LLC
NPI 1538010236
Nurse Practitioner - Psychiatric/Mental Health in New Albany, IN
About Momentum Behavioral Health Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOMENTUM BEHAVIORAL HEALTH GROUP LLC (NPI 1538010236) is a healthcare organization registered as a psychiatric/mental health in New Albany, Indiana and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Kirsten Bailey Dericks, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Momentum Behavioral Health Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Momentum Behavioral Health Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 15D2339747
Momentum Behavioral Health Group LLC · New Albany, INFrequently 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 Momentum Behavioral Health Group LLC's NPI number?
The NPI number for Momentum Behavioral Health Group LLC is 1538010236. It was assigned to this organization in the NPPES registry on February 7, 2026.
Where is Momentum Behavioral Health Group LLC located?
Momentum Behavioral Health Group LLC is located at 3211 Grant Line Rd Ste 15, New Albany, IN 47150. The listed phone number is (812) 221-1186.
What is Momentum Behavioral Health Group LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Momentum Behavioral Health Group LLC enrolled in Medicare?
Yes. Momentum Behavioral Health Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Momentum Behavioral Health Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Momentum Behavioral Health Group 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Momentum Behavioral Health Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2339747) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Momentum Behavioral Health Group LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Momentum Behavioral Health Group 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 Momentum Behavioral Health Group LLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Momentum Behavioral Health Group Llc · NPI 1538010236
Psychiatric/Mental Health organization in New Albany, Indiana. Organization record, active in the CMS NPPES registry since February 7, 2026.
## Identity
- **NPI:** 1538010236 (Entity type: Organization)
- **Enumerated:** February 7, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Kirsten Dericks, PROVIDER
## Practice location
- **Address:** 3211 GRANT LINE RD STE 15, New Albany, IN 47150-2175
- **Phone:** (812) 221-1186 · **Fax:** (949) 882-0452
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538010236) · Data from the CMS NPPES public registry.