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CENTER STATE WELLNESS LLC
NPI 1689235319
Nurse Practitioner - Family in Concord, NH

Active since June 24, 2019
102 PLEASANT ST, CONCORD, NH 03301(603) 556-7101(949) 404-6458 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Center State Wellness Llc NPPES

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

CENTER STATE WELLNESS LLC (NPI 1689235319) is a healthcare organization registered as a family in Concord, New Hampshire and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Keene and lists Russell Howard, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1689235319
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTER STATE WELLNESS LLC
Location Address102 PLEASANT STConcord, NH 03301-3863
Mailing Address102 Pleasant StConcord, NH 03301-3863 · (603) 556-7101 · Fax (949) 404-6458
Phone(603) 556-7101
Fax(949) 404-6458
Organization SubpartNo
Authorized OfficialRussell HowardAuthorized Official · (603) 556-7101
Enumeration DateJune 24, 2019
✔ NPI 1689235319 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
102 PLEASANT ST, Concord, NH 03301
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Secondary Practice Location 1

Location 126 Water StKeene, NH 03431-4235 · Phone (603) 556-7101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, WellSense Health Plan.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)

Center State Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Center State Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Alice Kebeumen Jamen, PMHNP-BC
Nurse Practitioner
NPI 1780301077
102 PLEASANT ST STE 2
Concord, NH 03301
(832) 867-2447
✔ PECOS✔ Accepts MedicareSame address
Yvonne Amune, PMHNP
Nurse Practitioner
NPI 1629797782
60 COMMERCIAL ST STE 303
Concord, NH 03301
(346) 247-6143
✔ PECOS✔ Accepts Medicare1.4 mi
Russell Howard, APRN
Nurse Practitioner
NPI 1275954166
60 COMMERCIAL ST STE 303
Concord, NH 03301
(603) 556-7101
✔ PECOS✔ Accepts Medicare1.4 mi
Sarah Mazzola, PMHNP-BC
Nurse Practitioner
NPI 1417689209
745 N MAIN ST
Laconia, NH 03246
(603) 413-2750
✔ PECOS✔ Accepts Medicare23 mi
Lana Moore, APRN
Nurse Practitioner
NPI 1114116159
590 COURT ST
Keene, NH 03431
(603) 354-5400
✔ PECOS42 mi
Temilola Oladotun, NP
Nurse Practitioner
NPI 1639822703
812 W 8TH STREET SUITE 1A
Plainview, TX 79072
(806) 429-8088
✔ PECOS✔ Accepts Medicare1,734 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 Center State Wellness LLC's NPI number?

The NPI number for Center State Wellness LLC is 1689235319. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is Center State Wellness LLC located?

Center State Wellness LLC is located at 102 Pleasant St, Concord, NH 03301. The listed phone number is (603) 556-7101.

What is Center State Wellness LLC's specialty?

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

Is Center State Wellness LLC enrolled in Medicare?

Yes. Center State Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center State Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Center State 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Center State Wellness LLC accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Center State 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 Center State Wellness LLC was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.