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LONGEVITE HEALTH AND WELLNESS
NPI 1730651589
Family Medicine in Midlothian, VA

Active since December 18, 2018
14024 WILEY CIR, MIDLOTHIAN, VA 23114(804) 639-8145(804) 818-2637 Get Directions Write a Review

NPPES record last updated: November 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2022, Dec 18, 2018 (2 updates tracked since 2018).

About Longevite Health And Wellness NPPES

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

LONGEVITE HEALTH AND WELLNESS (NPI 1730651589) is a healthcare organization registered as a family medicine in Midlothian, Virginia and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Midlothian and lists Bernice Natalie Mucius-penha, Physician, as its authorized official.

NPPES Registry Identity

NPI1730651589
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLONGEVITE HEALTH AND WELLNESS
Location Address14024 WILEY CIRMidlothian, VA 23114-5578
Mailing Address14024 Wiley CirMidlothian, VA 23114-5578 · (804) 639-8145 · Fax (804) 818-2637
Phone(804) 639-8145
Fax(804) 818-2637
Organization SubpartNo
Authorized OfficialBernice Natalie Mucius-penhaPhysician · (516) 673-8554
Enumeration DateDecember 18, 2018
Last NPPES UpdateNovember 13, 20222 updates tracked since enumeration
NPPES CertifiedNovember 13, 2022
✔ NPI 1730651589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14024 WILEY CIR, Midlothian, VA 23114
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Secondary Practice Location 1

Location 16055 Harbour Park DrMidlothian, VA 23112-2160 · Phone (804) 639-8145 · Fax (804) 818-2637

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 MULTIPLE 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)

Longevite Health And Wellness 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 Longevite Health And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bernice Mucius Penha, M.D.
Family Practice
NPI 1568628527
14024 WILEY CIR
Midlothian, VA 23114
(516) 673-8554
✔ 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 Longevite Health And Wellness's NPI number?

The NPI number for Longevite Health And Wellness is 1730651589. It was assigned to this organization in the NPPES registry on December 18, 2018.

Where is Longevite Health And Wellness located?

Longevite Health And Wellness is located at 14024 Wiley Cir, Midlothian, VA 23114. The listed phone number is (804) 639-8145.

What is Longevite Health And Wellness's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Longevite Health And Wellness enrolled in Medicare?

Yes. Longevite Health And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevite Health And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Longevite Health And Wellness. 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 Longevite Health And Wellness was last updated on November 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.