PSYCHCARE WELLNESS SOLUTIONS LLC
NPI 1639015357
Nurse Practitioner - Psychiatric/Mental Health in Gresham, OR

Active since April 25, 2026
4304 SE 182ND AVE, GRESHAM, OR 97030(469) 396-5980 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychcare Wellness Solutions Llc NPPES

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

PSYCHCARE WELLNESS SOLUTIONS LLC (NPI 1639015357) is a healthcare organization registered as a psychiatric/mental health in Gresham, Oregon and active in the NPI registry since April 2026. The organization lists James Waweru, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1639015357
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHCARE WELLNESS SOLUTIONS LLC
Location Address4304 SE 182ND AVEGresham, OR 97030-5058
Mailing Address4304 Se 182nd AveGresham, OR 97030-5058 · (469) 396-5980
Organization SubpartNo
Authorized OfficialJames WaweruOwner Of Entity · (469) 396-5980
Enumeration DateApril 25, 2026
NPPES CertifiedApril 25, 2026
✔ NPI 1639015357 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
4304 SE 182ND AVE, Gresham, OR 97030

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychcare Wellness Solutions Llc 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 Psychcare Wellness Solutions LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1881585339
520 WOUNDED KNEE DR
Aubrey, TX 76227
(693) 965-9804
✔ PECOS1,596 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 Psychcare Wellness Solutions LLC's NPI number?

The NPI number for Psychcare Wellness Solutions LLC is 1639015357. It was assigned to this organization in the NPPES registry on April 25, 2026.

Where is Psychcare Wellness Solutions LLC located?

Psychcare Wellness Solutions LLC is located at 4304 SE 182nd Ave, Gresham, OR 97030. The listed phone number is (469) 396-5980.

What is Psychcare Wellness Solutions LLC's specialty?

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

Is Psychcare Wellness Solutions LLC enrolled in Medicare?

Yes. Psychcare Wellness Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychcare Wellness Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Psychcare Wellness Solutions 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.

When was this NPI record last updated?

The NPPES record for Psychcare Wellness Solutions LLC was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.