PROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC
NPI 1659013548
Nurse Practitioner - Psychiatric/Mental Health in Bristol, FL
About Professional Mental Health Wellness Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC (NPI 1659013548) is a healthcare organization registered as a psychiatric/mental health in Bristol, Florida and active in the NPI registry since April 2022. The organization lists Kristina A Rickman-sykes, Pmhnp, 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)
Professional Mental Health Wellness Services 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 Professional Mental Health Wellness Services LLC, 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 Professional Mental Health Wellness Services LLC's NPI number?
The NPI number for Professional Mental Health Wellness Services LLC is 1659013548. It was assigned to this organization in the NPPES registry on April 11, 2022.
Where is Professional Mental Health Wellness Services LLC located?
Professional Mental Health Wellness Services LLC is located at 10564 NW Sr 20 Suite #2, Bristol, FL 32321. The listed phone number is (850) 447-4644.
What is Professional Mental Health Wellness Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Professional Mental Health Wellness Services LLC enrolled in Medicare?
Yes. Professional Mental Health Wellness Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Mental Health Wellness Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Professional Mental Health Wellness Services 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 Professional Mental Health Wellness Services LLC was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Professional Mental Health Wellness Services Llc · NPI 1659013548
Psychiatric/Mental Health organization in Bristol, Florida. Organization record, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1659013548 (Entity type: Organization)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Kristina Rickman-Sykes, PMHNP
## Practice location
- **Address:** 10564 NW SR 20 SUITE #2, Bristol, FL 32321
- **Phone:** (850) 447-4644
## 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:** August 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659013548) · Data from the CMS NPPES public registry.