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PRIDE HEALTH & WELLNESS SOLUTIONS
NPI 1669298873
Nurse Practitioner - Family in Goodyear, AZ

Active since December 03, 2024
633 S ESTRELLA PKWY STE 3-120, GOODYEAR, AZ 85338(623) 306-7200(855) 576-5012 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Pride Health & Wellness Solutions NPPES

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

PRIDE HEALTH & WELLNESS SOLUTIONS (NPI 1669298873) is a healthcare organization registered as a family in Goodyear, Arizona and active in the NPI registry since December 2024. The organization lists Marian Ramirez Bautista-de-leon, Provider, as its authorized official.

NPPES Registry Identity

NPI1669298873
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIDE HEALTH & WELLNESS SOLUTIONS
Location Address633 S ESTRELLA PKWY STE 3-120Goodyear, AZ 85338-9331
Mailing Address633 S Estrella Pkwy Ste 3-120Goodyear, AZ 85338-9331 · (623) 306-7200 · Fax (855) 576-5012
Phone(623) 306-7200
Fax(855) 576-5012
Organization SubpartNo
Authorized OfficialMarian Ramirez Bautista-de-leonProvider · (561) 309-4434
Enumeration DateDecember 3, 2024
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1669298873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
633 S ESTRELLA PKWY STE 3-120, Goodyear, AZ 85338
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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 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)

Pride Health & Wellness Solutions 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 Pride Health & Wellness Solutions, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marian Bautista, FNP-C
Nurse Practitioner
NPI 1386179414
5401 W THUNDERBIRD RD # 101
Glendale, AZ 85306
(602) 530-6189
✔ PECOS✔ Accepts Medicare17 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 Pride Health & Wellness Solutions's NPI number?

The NPI number for Pride Health & Wellness Solutions is 1669298873. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Pride Health & Wellness Solutions located?

Pride Health & Wellness Solutions is located at 633 S Estrella Pkwy Ste 3-120, Goodyear, AZ 85338. The listed phone number is (623) 306-7200.

What is Pride Health & Wellness Solutions's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pride Health & Wellness Solutions enrolled in Medicare?

Yes. Pride Health & Wellness Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pride Health & Wellness Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pride Health & Wellness Solutions. 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 Pride Health & Wellness Solutions was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.