VITALITY WELLNESS INSTITUTE
NPI 1710404892
Nurse Practitioner - Family in Jenkins, KY

Active since August 29, 2017CLIA 18D2288305 · Waiver
214 HIGHWAY 3086, JENKINS, KY 41537(276) 220-2408 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2018, Oct 27, 2017, Aug 29, 2017 (3 updates tracked since 2017).

About Vitality Wellness Institute NPPES

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

VITALITY WELLNESS INSTITUTE (NPI 1710404892) is a healthcare organization registered as a family in Jenkins, Kentucky and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists April Nafus, Credentialist, as its authorized official.

NPPES Registry Identity

NPI1710404892
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY WELLNESS INSTITUTE
Location Address214 HIGHWAY 3086Jenkins, KY 41537
Mailing AddressPo Box 21833Belfast, ME 04915-4115 · (386) 313-5287
Organization SubpartNo
Authorized OfficialApril NafusCredentialist · (570) 901-1957
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 25, 20183 updates tracked since enumeration
✔ NPI 1710404892 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
License✔ Licensed in KY · 3006206
214 HIGHWAY 3086, Jenkins, KY 41537

Other Identifiers 1

Medicaid7100100220KY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Wellness Institute 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 Vitality Wellness Institute, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1417188285
214 HIGHWAY 3086
Jenkins, KY 41537
(606) 212-1131
✔ PECOS✔ Accepts Medicare2.1 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 18D2288305

Vitality Wellness Institute, LLC · Jenkins, KY
Active · expires Aug 23, 2027
CLIA Number18D2288305
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorMr. Benjamin L. Kiser
Laboratory Phone(606) 212-1131
Laboratory LocationVitality Wellness Institute, LLC214 Highway 3086, Jenkins, KY 41537
CLIA data matches this NPI record on: Address Name
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 Vitality Wellness Institute's NPI number?

The NPI number for Vitality Wellness Institute is 1710404892. It was assigned to this organization in the NPPES registry on August 29, 2017.

Where is Vitality Wellness Institute located?

Vitality Wellness Institute is located at 214 Highway 3086, Jenkins, KY 41537. The listed phone number is (276) 220-2408.

What is Vitality Wellness Institute's specialty?

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

Is Vitality Wellness Institute enrolled in Medicare?

Yes. Vitality Wellness Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Wellness Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitality Wellness Institute. 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 Vitality Wellness Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2288305) is associated with this NPI, valid through August 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 Vitality Wellness Institute was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.