AQUARIUS MEDICAL & WELLNESS CLINIC, LLC
NPI 1689472904
Nurse Practitioner - Primary Care in Santa Fe, NM
About Aquarius Medical & Wellness Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AQUARIUS MEDICAL & WELLNESS CLINIC, LLC (NPI 1689472904) is a healthcare organization registered as a primary care in Santa Fe, New Mexico and active in the NPI registry since March 2025. The organization lists Elizabeth Olis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aquarius Medical & Wellness Clinic, 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 Aquarius Medical & Wellness Clinic, 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 Aquarius Medical & Wellness Clinic, LLC's NPI number?
The NPI number for Aquarius Medical & Wellness Clinic, LLC is 1689472904. It was assigned to this organization in the NPPES registry on March 4, 2025.
Where is Aquarius Medical & Wellness Clinic, LLC located?
Aquarius Medical & Wellness Clinic, LLC is located at 6 Calle Medico Ste 4, Santa Fe, NM 87505. The listed phone number is (813) 484-2335.
What is Aquarius Medical & Wellness Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Aquarius Medical & Wellness Clinic, LLC enrolled in Medicare?
Yes. Aquarius Medical & Wellness Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aquarius Medical & Wellness Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Aquarius Medical & Wellness Clinic, 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 Aquarius Medical & Wellness Clinic, LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Aquarius Medical & Wellness Clinic, Llc · NPI 1689472904
Primary Care organization in Santa Fe, New Mexico. Organization record, active in the CMS NPPES registry since March 4, 2025.
## Identity
- **NPI:** 1689472904 (Entity type: Organization)
- **Enumerated:** March 4, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Olis, OWNER
## Practice location
- **Address:** 6 CALLE MEDICO STE 4, Santa Fe, NM 87505-4761
- **Phone:** (813) 484-2335 · **Fax:** (505) 395-9251
## 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:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689472904) · Data from the CMS NPPES public registry.