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MYSTI BLU LLC
NPI 1609550219
Clinic/Center - Infusion Therapy in Carrollton, TX

Active since June 14, 2023
2459 E. HEBRON PARKWAY, #130, CARROLLTON, TX 75010(972) 522-9799(469) 546-9723 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Nov 16, 2023, Oct 29, 2023 and 2 more (5 updates tracked since 2023).

About Mysti Blu Llc NPPES

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

MYSTI BLU LLC (NPI 1609550219) is a healthcare organization registered as an infusion therapy in Carrollton, Texas and active in the NPI registry since June 2023. The organization lists Jerria Bernestine, Owner, as its authorized official.

NPPES Registry Identity

NPI1609550219
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameMYSTI BLU LLC
Location Address2459 E. HEBRON PARKWAY, #130Carrollton, TX 75010
Mailing Address3333 Preston Road, #300Frisco, TX 75034 · (972) 522-9799
Phone(972) 522-9799
Fax(469) 546-9723
Organization SubpartNo
Authorized OfficialJerria BernestineOwner · (972) 522-9799
Enumeration DateJune 14, 2023
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1609550219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2459 E. HEBRON PARKWAY, Carrollton, TX 75010
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.Insurance ›

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 Mysti Blu LLC's NPI number?

The NPI number for Mysti Blu LLC is 1609550219. It was assigned to this organization in the NPPES registry on June 14, 2023.

Where is Mysti Blu LLC located?

Mysti Blu LLC is located at 2459 E. Hebron Parkway #130, Carrollton, TX 75010. The listed phone number is (972) 522-9799.

What is Mysti Blu LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

What insurance does Mysti Blu LLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list Mysti Blu 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 Mysti Blu LLC was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.