OPTIMA MENTAL HEALTH AND WELLNESS LLC
NPI 1740070317
Clinic/Center in Wayzata, MN
About Optima Mental Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMA MENTAL HEALTH AND WELLNESS LLC (NPI 1740070317) is a healthcare organization registered as a clinic/center in Wayzata, Minnesota and active in the NPI registry since May 2025. The organization lists Mercy Shwembom, Owner/clinician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optima Mental Health And Wellness Llc 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 Optima Mental Health And Wellness LLC, 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 Optima Mental Health And Wellness LLC's NPI number?
The NPI number for Optima Mental Health And Wellness LLC is 1740070317. It was assigned to this organization in the NPPES registry on May 8, 2025.
Where is Optima Mental Health And Wellness LLC located?
Optima Mental Health And Wellness LLC is located at 801 Twelve Oaks Center Dr Ste 820A, Wayzata, MN 55391. The listed phone number is (320) 447-4792.
What is Optima Mental Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Optima Mental Health And Wellness LLC enrolled in Medicare?
Yes. Optima Mental Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optima Mental Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Optima Mental Health And Wellness 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.
When was this NPI record last updated?
The NPPES record for Optima Mental Health And Wellness LLC was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Optima Mental Health And Wellness Llc · NPI 1740070317
Clinic/Center organization in Wayzata, Minnesota. Organization record, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1740070317 (Entity type: Organization)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Mercy Shwembom, OWNER/CLINICIAN
## Practice location
- **Address:** 801 TWELVE OAKS CENTER DR STE 820A, Wayzata, MN 55391-4640
- **Phone:** (320) 447-4792
## 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:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740070317) · Data from the CMS NPPES public registry.