MAVERICK MIND PLLC
NPI 1699488924
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO
About Maverick Mind Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAVERICK MIND PLLC (NPI 1699488924) is a healthcare organization registered as a psychiatric/mental health in Pueblo, Colorado and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Lakewood and lists Joelle Josephina Bailey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Maverick Mind 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 Maverick Mind 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 Maverick Mind PLLC's NPI number?
The NPI number for Maverick Mind PLLC is 1699488924. It was assigned to this organization in the NPPES registry on January 2, 2023.
Where is Maverick Mind PLLC located?
Maverick Mind PLLC is located at 1401 N Elizabeth St Ste B2, Pueblo, CO 81003. The listed phone number is (719) 988-3843.
What is Maverick Mind PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Maverick Mind PLLC enrolled in Medicare?
Yes. Maverick Mind PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maverick Mind PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Maverick Mind 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 Maverick Mind PLLC was last updated on February 7, 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.
# Maverick Mind Pllc · NPI 1699488924
Psychiatric/Mental Health organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since January 2, 2023.
## Identity
- **NPI:** 1699488924 (Entity type: Organization)
- **Enumerated:** January 2, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Joelle Bailey, OWNER
## Practice location
- **Address:** 1401 N ELIZABETH ST STE B2, Pueblo, CO 81003-2158
- **Phone:** (719) 988-3843
## 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 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699488924) · Data from the CMS NPPES public registry.