LUX PSYCHIATRY PLLC
NPI 1720873896
Nurse Practitioner - Psychiatric/Mental Health in Roseville, MN
About Lux Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUX PSYCHIATRY PLLC (NPI 1720873896), doing business as Lux Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Roseville, Minnesota and active in the NPI registry since April 2025. The organization lists Olivia Grayson, Pmhnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Lux Psychiatry 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 Lux Psychiatry 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 Lux Psychiatry PLLC's NPI number?
The NPI number for Lux Psychiatry PLLC is 1720873896. It was assigned to this organization in the NPPES registry on April 10, 2025. The provider is doing business as Lux Psychiatry.
Where is Lux Psychiatry PLLC located?
Lux Psychiatry PLLC is located at 2355 Highway 36 W Ste 400, Roseville, MN 55113. The listed phone number is (612) 405-6555.
What is Lux Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lux Psychiatry PLLC enrolled in Medicare?
Yes. Lux Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lux Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lux Psychiatry 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 Lux Psychiatry PLLC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Lux Psychiatry Pllc · NPI 1720873896
Psychiatric/Mental Health organization in Roseville, Minnesota. Organization record, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1720873896 (Entity type: Organization)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Lux Psychiatry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Olivia Grayson, PMHNP
## Practice location
- **Address:** 2355 HIGHWAY 36 W STE 400, Roseville, MN 55113-3905
- **Phone:** (612) 405-6555
## 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:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720873896) · Data from the CMS NPPES public registry.