UR MENTAL WELLNESS PLLC
NPI 1679366678
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL
About Ur Mental Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UR MENTAL WELLNESS PLLC (NPI 1679366678) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since May 2025. The organization lists Diego Bustillo, Owner, 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)
Ur Mental Wellness Pllc 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 Ur Mental Wellness PLLC, 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 Ur Mental Wellness PLLC's NPI number?
The NPI number for Ur Mental Wellness PLLC is 1679366678. It was assigned to this organization in the NPPES registry on May 23, 2025.
Where is Ur Mental Wellness PLLC located?
Ur Mental Wellness PLLC is located at 9994 SW 31st Ter, Miami, FL 33165. The listed phone number is (786) 977-8817.
What is Ur Mental Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ur Mental Wellness PLLC enrolled in Medicare?
Yes. Ur Mental Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ur Mental Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ur Mental Wellness PLLC. 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 Ur Mental Wellness PLLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ur Mental Wellness Pllc · NPI 1679366678
Psychiatric/Mental Health organization in Miami, Florida. Organization record, active in the CMS NPPES registry since May 23, 2025.
## Identity
- **NPI:** 1679366678 (Entity type: Organization)
- **Enumerated:** May 23, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Diego Bustillo, OWNER
## Practice location
- **Address:** 9994 SW 31ST TER, Miami, FL 33165-2961
- **Phone:** (786) 977-8817 · **Fax:** (786) 590-1096
## 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:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679366678) · Data from the CMS NPPES public registry.