MY WELLNESS 1 INC
NPI 1720763246
Nurse Practitioner - Psychiatric/Mental Health in Mount Rainier, MD

Active since June 21, 2023
4531 32ND ST, MOUNT RAINIER, MD 20712(240) 253-3912 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2025, Jun 21, 2023 (2 updates tracked since 2023).

About My Wellness 1 Inc NPPES

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

MY WELLNESS 1 INC (NPI 1720763246) is a healthcare organization registered as a psychiatric/mental health in Mount Rainier, Maryland and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Hagerstown and lists Marinette N Zibi, President, as its authorized official.

NPPES Registry Identity

NPI1720763246
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMY WELLNESS 1 INC
Location Address4531 32ND STMount Rainier, MD 20712-1613
Mailing Address4531 32nd StMount Rainier, MD 20712-1613 · (240) 253-3912
Organization SubpartNo
Authorized OfficialMarinette N ZibiPresident · (240) 253-3912
Enumeration DateJune 21, 2023
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1720763246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4531 32ND ST, Mount Rainier, MD 20712

Secondary Practice Location 1

Location 11130 OPAL CTHAGERSTOWN, MD 21740-5940 · Phone (240) 696-0329 · Fax (240) 696-0328

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Wellness 1 Inc 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 My Wellness 1 Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1548610215
4531 32ND ST
Mount Rainier, MD 20712
(240) 253-3912
✔ PECOS✔ Accepts MedicareSame address

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 My Wellness 1 Inc's NPI number?

The NPI number for My Wellness 1 Inc is 1720763246. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is My Wellness 1 Inc located?

My Wellness 1 Inc is located at 4531 32nd St, Mount Rainier, MD 20712. The listed phone number is (240) 253-3912.

What is My Wellness 1 Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is My Wellness 1 Inc enrolled in Medicare?

Yes. My Wellness 1 Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Wellness 1 Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Wellness 1 Inc. 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 My Wellness 1 Inc was last updated on February 12, 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.