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WELLCARE HOLISTICS
NPI 1699557652
Nurse Practitioner - Adult Health in Matawan, NJ

Active since October 16, 2023CLIA 31D2280654 · Waiver
123 MAIN ST, MATAWAN, NJ 07747(973) 963-4402(973) 363-4742 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2025, Oct 16, 2023 (2 updates tracked since 2023).

About Wellcare Holistics NPPES

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

WELLCARE HOLISTICS (NPI 1699557652) is a healthcare organization registered as an adult health in Matawan, New Jersey and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Patricia Eliacin, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1699557652
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameWELLCARE HOLISTICS
Location Address123 MAIN STMatawan, NJ 07747-2664
Mailing Address41 Center St Ste 106Freehold, NJ 07728-2220 · (973) 963-4402 · Fax (973) 363-4742
Phone(973) 963-4402
Fax(973) 363-4742
Organization SubpartNo
Authorized OfficialPatricia EliacinNurse Practitioner · (973) 963-4402
Enumeration DateOctober 16, 2023
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1699557652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
123 MAIN ST, Matawan, NJ 07747
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellcare Holistics 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 Wellcare Holistics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patricia Eliacin, DNP-BC
Nurse Practitioner
NPI 1932307790
3 PENN PLZ E
Newark, NJ 07105
(973) 466-7962
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2280654

Wellcare Holistics · Freehold, NJ
Active · expires Apr 23, 2027
CLIA Number31D2280654
Laboratory TypePractitioner Other
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorPatricia Eliacin
Laboratory Phone(973) 963-4402
Laboratory LocationWellcare Holistics41 Center Street, Freehold, NJ 07728
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wellcare Holistics's NPI number?

The NPI number for Wellcare Holistics is 1699557652. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Wellcare Holistics located?

Wellcare Holistics is located at 123 Main St, Matawan, NJ 07747. The listed phone number is (973) 963-4402.

What is Wellcare Holistics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Wellcare Holistics enrolled in Medicare?

Yes. Wellcare Holistics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellcare Holistics?

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

Does Wellcare Holistics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2280654) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellcare Holistics was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.