PEACE HEALING AND WELLNESS LLC
NPI 1619776374
Nurse Practitioner - Psychiatric/Mental Health in Boca Raton, FL

Active since March 13, 2025
1650 S DIXIE HWY STE 203, BOCA RATON, FL 33432(954) 671-0258 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, Mar 13, 2025 (2 updates tracked since 2025).

About Peace Healing And Wellness Llc NPPES

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

PEACE HEALING AND WELLNESS LLC (NPI 1619776374) is a healthcare organization registered as a psychiatric/mental health in Boca Raton, Florida and active in the NPI registry since March 2025. The organization lists Tracy Ann Damiela Thompson, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1619776374
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEACE HEALING AND WELLNESS LLC
Location Address1650 S DIXIE HWY STE 203Boca Raton, FL 33432-7461
Mailing Address1650 S Dixie Hwy Ste 203Boca Raton, FL 33432-7461 · (954) 671-0258
Organization SubpartNo
Authorized OfficialTracy Ann Damiela ThompsonCo-owner · (954) 671-0258
Enumeration DateMarch 13, 2025
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1619776374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1650 S DIXIE HWY STE 203, Boca Raton, FL 33432

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 SINGLE SPECIALTY GROUP

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)

Peace Healing And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peace Healing And Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1205647666
9084 NW 23RD PL
Coral Springs, FL 33065
(917) 353-2259
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1548972730
4901 N TRAVELERS PALM LN
Tamarac, FL 33319
(954) 901-5440
✔ PECOS✔ Accepts Medicare13 mi

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 Peace Healing And Wellness LLC's NPI number?

The NPI number for Peace Healing And Wellness LLC is 1619776374. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Peace Healing And Wellness LLC located?

Peace Healing And Wellness LLC is located at 1650 S Dixie Hwy Ste 203, Boca Raton, FL 33432. The listed phone number is (954) 671-0258.

What is Peace Healing And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Peace Healing And Wellness LLC enrolled in Medicare?

Yes. Peace Healing And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peace Healing And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Peace Healing And Wellness 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 Peace Healing And Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Peace Healing And Wellness 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 Peace Healing And Wellness LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.