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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIGHT SOUL WELLNESS CENTER INC
NPI 1598465551
Clinic/Center - Primary Care in Brazil, IN

Active since March 08, 2023CLIA 15D2283628 · Waiver
2186 W US HIGHWAY 40, BRAZIL, IN 47834(812) 878-8223(812) 443-0668 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Apr 9, 2024, Mar 9, 2023 (3 updates tracked since 2023).

About Bright Soul Wellness Center Inc NPPES

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

BRIGHT SOUL WELLNESS CENTER INC (NPI 1598465551) is a healthcare organization registered as a primary care in Brazil, Indiana and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Maranda Mckinney, Owner/fnp, as its authorized official.

NPPES Registry Identity

NPI1598465551
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRIGHT SOUL WELLNESS CENTER INC
Location Address2186 W US HIGHWAY 40Brazil, IN 47834-7201
Mailing Address2186 W Us Highway 40Brazil, IN 47834-7201 · (812) 878-8223
Phone(812) 878-8223
Fax(812) 443-0668
Organization SubpartNo
Authorized OfficialMaranda MckinneyOwner/fnp · (812) 878-8223
Enumeration DateMarch 8, 2023
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1598465551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2186 W US HIGHWAY 40, Brazil, IN 47834
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bright Soul Wellness Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bright Soul Wellness Center Inc, 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)

Deanna Jones
Nurse Practitioner
NPI 1548093289
2186 W US HIGHWAY 40
Brazil, IN 47834
(812) 878-8223
✔ PECOSSame address
Maranda Mckinney, FNP
Nurse Practitioner
NPI 1689127854
2186 W US HIGHWAY 40
Brazil, IN 47834
(812) 878-8223
✔ PECOSSame address
Shane Wilson-White, NURSE PRACTITIONER
Nurse Practitioner
NPI 1952910531
2186 W US HIGHWAY 40
Brazil, IN 47834
(812) 878-8223
✔ PECOS✔ Accepts Medicare2.7 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 15D2283628

Bright Soul Wellness Center · Brazil, IN
Active · expires Jun 8, 2027
CLIA Number15D2283628
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorMaranda Mckinney
Laboratory Phone(812) 878-8223
Laboratory LocationBright Soul Wellness Center2186 W Us Highway 40, Brazil, IN 47834
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 Bright Soul Wellness Center Inc's NPI number?

The NPI number for Bright Soul Wellness Center Inc is 1598465551. It was assigned to this organization in the NPPES registry on March 8, 2023.

Where is Bright Soul Wellness Center Inc located?

Bright Soul Wellness Center Inc is located at 2186 W Us Highway 40, Brazil, IN 47834. The listed phone number is (812) 878-8223.

What is Bright Soul Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Bright Soul Wellness Center Inc enrolled in Medicare?

Yes. Bright Soul Wellness Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bright Soul Wellness Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bright Soul Wellness Center Inc. 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.

Does Bright Soul Wellness Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2283628) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bright Soul Wellness Center Inc was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.