BEACON WELLNESS AND PSYCHIATRY
NPI 1689326837
Nurse Practitioner - Psychiatric/Mental Health in Petoskey, MI

Active since January 19, 2022
101 LEWIS ST STE 2, PETOSKEY, MI 49770(231) 881-8838(231) 622-8037 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 24, 2023, May 2, 2023, Jan 9, 2023 and 2 more (5 updates tracked since 2022).

About Beacon Wellness And Psychiatry NPPES

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

BEACON WELLNESS AND PSYCHIATRY (NPI 1689326837) is a healthcare organization registered as a psychiatric/mental health in Petoskey, Michigan and active in the NPI registry since January 2022. The organization lists Karolyn Wilder, Provider/member, as its authorized official.

NPPES Registry Identity

NPI1689326837
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBEACON WELLNESS SOLUTIONS LLC
Location Address101 LEWIS ST STE 2Petoskey, MI 49770
Mailing Address101 Lewis St Ste 2Petoskey, MI 49770 · (231) 881-8838
Fax(231) 622-8037
Organization SubpartYes
Authorized OfficialKarolyn WilderProvider/member · (231) 881-8838
Enumeration DateJanuary 19, 2022
Last NPPES UpdateOctober 24, 20235 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1689326837 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
101 LEWIS ST STE 2, Petoskey, MI 49770

Other Names 1

Doing Business AsBeacon Wellness And Psychiatry

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

Accepted 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)

Beacon Wellness And Psychiatry 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 Beacon Wellness And Psychiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1518621994
101 LEWIS ST STE 2
Petoskey, MI 49770
(231) 881-1047
✔ PECOS✔ Accepts MedicareSame address

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 Beacon Wellness Solutions LLC's NPI number?

The NPI number for Beacon Wellness Solutions LLC is 1689326837. It was assigned to this organization in the NPPES registry on January 19, 2022. The provider is doing business as Beacon Wellness And Psychiatry.

Where is Beacon Wellness Solutions LLC located?

Beacon Wellness Solutions LLC is located at 101 Lewis St Ste 2, Petoskey, MI 49770. The listed phone number is (231) 881-8838.

What is Beacon 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 Beacon Wellness Solutions LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Beacon Wellness Solutions LLC?

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

What insurance does Beacon Wellness Solutions LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Beacon Wellness Solutions 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 Beacon Wellness Solutions LLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.