BLUEBELL HEALTH & WELLNESS, PLLC
NPI 1740940790
Clinic/Center - Rural Health in Goldsboro, NC
About Bluebell Health & Wellness, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUEBELL HEALTH & WELLNESS, PLLC (NPI 1740940790) is a healthcare organization registered as a rural health in Goldsboro, North Carolina and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Jennifer Mazurek, Dnp, Fnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bluebell Health & Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bluebell Health & Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2264958
Bluebell Health & Wellness, PLLC · Goldsboro, NCFrequently 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 Bluebell Health & Wellness, PLLC's NPI number?
The NPI number for Bluebell Health & Wellness, PLLC is 1740940790. It was assigned to this organization in the NPPES registry on December 17, 2021.
Where is Bluebell Health & Wellness, PLLC located?
Bluebell Health & Wellness, PLLC is located at 3484 Us Highway 13 S, Goldsboro, NC 27530. The listed phone number is (919) 689-2222.
What is Bluebell Health & Wellness, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Bluebell Health & Wellness, PLLC enrolled in Medicare?
Yes. Bluebell Health & Wellness, PLLC is registered in the Medicare PECOS enrollment system.
When is Bluebell Health & Wellness, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bluebell Health & Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bluebell Health & Wellness, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bluebell Health & Wellness, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2264958) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bluebell Health & Wellness, PLLC accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Bluebell Health & Wellness, PLLC 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 Bluebell Health & Wellness, PLLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bluebell Health & Wellness, Pllc · NPI 1740940790
Rural Health organization in Goldsboro, North Carolina. Organization record, active in the CMS NPPES registry since December 17, 2021.
## Identity
- **NPI:** 1740940790 (Entity type: Organization)
- **Enumerated:** December 17, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Jennifer Mazurek, DNP, FNP-BC
## Practice location
- **Address:** 3484 US HIGHWAY 13 S, Goldsboro, NC 27530-1025
- **Phone:** (919) 689-2222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2024
- **Other identifiers:** Other 5011760 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740940790) · Data from the CMS NPPES public registry.