MENDING HEARTS WELLNESS CENTER OF TENNESSEE LLC
NPI 1740959683
Psychologist - Prescribing (Medical) in Dandridge, TN

Q: What is Mending Hearts Wellness Center Of Tennessee LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since September 13, 2021

854 HIGHWAY 92 S STE B, DANDRIDGE, TN 37725(865) 484-9355(865) 484-9899 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2024, Sep 13, 2021 (2 updates tracked since 2021).

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About Mending Hearts Wellness Center Of Tennessee Llc NPPES

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

MENDING HEARTS WELLNESS CENTER OF TENNESSEE LLC (NPI 1740959683) is a healthcare organization registered as a prescribing (medical) in Dandridge, Tennessee and active in the NPI registry since September 2021. The organization lists Christi D Banks, Owner, as its authorized official.

NPPES Registry Identity

NPI1740959683

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameMENDING HEARTS WELLNESS CENTER OF TENNESSEE LLC

Location Address854 HIGHWAY 92 S STE BDandridge, TN 37725-4969

Mailing AddressPo Box 1205Dandridge, TN 37725-1205 · (865) 484-9355 · Fax (865) 484-9899

Phone(865) 484-9355

Fax(865) 484-9899

Organization SubpartNo

Authorized OfficialChristi D BanksOwner · (865) 579-6756

Enumeration DateSeptember 13, 2021

Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1740959683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

854 HIGHWAY 92 S STE B, Dandridge, TN 37725

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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 SINGLE SPECIALTY GROUP

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)

Mending Hearts Wellness Center Of Tennessee Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date

StateTennesseeEnrollment IDO20211112000518Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mending Hearts Wellness Center Of Tennessee LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christi Banks, APRN

Nurse Practitioner

NPI 1992823512

854 HIGHWAY 92 S STE B
Dandridge, TN 37725

(865) 484-9355

✔ 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 Mending Hearts Wellness Center Of Tennessee LLC's NPI number?

The NPI number for Mending Hearts Wellness Center Of Tennessee LLC is 1740959683. It was assigned to this organization in the NPPES registry on September 13, 2021.

Where is Mending Hearts Wellness Center Of Tennessee LLC located?

Mending Hearts Wellness Center Of Tennessee LLC is located at 854 Highway 92 S Ste B, Dandridge, TN 37725. The listed phone number is (865) 484-9355.

What is Mending Hearts Wellness Center Of Tennessee LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Mending Hearts Wellness Center Of Tennessee LLC enrolled in Medicare?

Yes. Mending Hearts Wellness Center Of Tennessee LLC is registered in the Medicare PECOS enrollment system.

When is Mending Hearts Wellness Center Of Tennessee LLC'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 (Tennessee, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Mending Hearts Wellness Center Of Tennessee LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mending Hearts Wellness Center Of Tennessee 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 Mending Hearts Wellness Center Of Tennessee LLC was last updated on September 13, 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.