OMEGA MEDICAL AND AESTHETICS PLLC
NPI 1578447181
Nurse Practitioner - Family in Mooresburg, TN
About Omega Medical And Aesthetics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMEGA MEDICAL AND AESTHETICS PLLC (NPI 1578447181) is a healthcare organization registered as a family in Mooresburg, Tennessee and active in the NPI registry since August 2025. The organization lists Susan Kelly, Owner, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omega Medical And Aesthetics Pllc 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 Omega Medical And Aesthetics PLLC, 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 Omega Medical And Aesthetics PLLC's NPI number?
The NPI number for Omega Medical And Aesthetics PLLC is 1578447181. It was assigned to this organization in the NPPES registry on August 5, 2025.
Where is Omega Medical And Aesthetics PLLC located?
Omega Medical And Aesthetics PLLC is located at 239 Clifford Price Loop, Mooresburg, TN 37811. The listed phone number is (978) 906-0418.
What is Omega Medical And Aesthetics PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Omega Medical And Aesthetics PLLC enrolled in Medicare?
Yes. Omega Medical And Aesthetics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omega Medical And Aesthetics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Omega Medical And Aesthetics PLLC. 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 Omega Medical And Aesthetics PLLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Omega Medical And Aesthetics Pllc · NPI 1578447181
Family organization in Mooresburg, Tennessee. Organization record, active in the CMS NPPES registry since August 5, 2025.
## Identity
- **NPI:** 1578447181 (Entity type: Organization)
- **Enumerated:** August 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Susan Kelly, OWNER, NP
## Practice location
- **Address:** 239 CLIFFORD PRICE LOOP, Mooresburg, TN 37811-2337
- **Phone:** (978) 906-0418
## 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:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578447181) · Data from the CMS NPPES public registry.