ADDICTION WELLNESS CENTER IN LLC
NPI 1720703382
Nurse Practitioner in Jeffersonville, IN
About Addiction Wellness Center In Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADDICTION WELLNESS CENTER IN LLC (NPI 1720703382) is a healthcare organization registered as a nurse practitioner in Jeffersonville, Indiana and active in the NPI registry since October 2022. The organization lists Jessie Costley, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 2
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)
Addiction Wellness Center In Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Addiction Wellness Center In LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Addiction Wellness Center In LLC's NPI number?
The NPI number for Addiction Wellness Center In LLC is 1720703382. It was assigned to this organization in the NPPES registry on October 6, 2022.
Where is Addiction Wellness Center In LLC located?
Addiction Wellness Center In LLC is located at 202 E Maple St, Jeffersonville, IN 47130. The listed phone number is (667) 367-8357.
What is Addiction Wellness Center In LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Addiction Wellness Center In LLC enrolled in Medicare?
Yes. Addiction Wellness Center In LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Addiction Wellness Center In LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Addiction Wellness Center In 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 Addiction Wellness Center In LLC accept?
Health plans from CareSource list Addiction Wellness Center In 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 Addiction Wellness Center In LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Addiction Wellness Center In Llc · NPI 1720703382
Nurse Practitioner organization in Jeffersonville, Indiana. Organization record, active in the CMS NPPES registry since October 6, 2022.
## Identity
- **NPI:** 1720703382 (Entity type: Organization)
- **Enumerated:** October 6, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Jessie Costley, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 202 E MAPLE ST, Jeffersonville, IN 47130-3420
- **Phone:** (667) 367-8357
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720703382) · Data from the CMS NPPES public registry.