HAVENNEXUS FAMILY PSYCHIATRY LLC
NPI 1750147971
Nurse Practitioner - Psychiatric/Mental Health in Palm Coast, FL
About Havennexus Family Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAVENNEXUS FAMILY PSYCHIATRY LLC (NPI 1750147971) is a healthcare organization registered as a psychiatric/mental health in Palm Coast, Florida and active in the NPI registry since February 2024. The organization lists Tolulope Oduyejo Williams, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Havennexus Family Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Havennexus Family Psychiatry LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
St Augustine, FL 32080
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 Havennexus Family Psychiatry LLC's NPI number?
The NPI number for Havennexus Family Psychiatry LLC is 1750147971. It was assigned to this organization in the NPPES registry on February 26, 2024.
Where is Havennexus Family Psychiatry LLC located?
Havennexus Family Psychiatry LLC is located at 50 Leanni Way Unit B1, Palm Coast, FL 32137. The listed phone number is (386) 334-5657.
What is Havennexus Family Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Havennexus Family Psychiatry LLC enrolled in Medicare?
Yes. Havennexus Family Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Havennexus Family Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Havennexus Family Psychiatry 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 Havennexus Family Psychiatry LLC was last updated on June 21, 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.
# Havennexus Family Psychiatry Llc · NPI 1750147971
Psychiatric/Mental Health organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1750147971 (Entity type: Organization)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tolulope Williams, OWNER
## Practice location
- **Address:** 50 LEANNI WAY UNIT B1, Palm Coast, FL 32137-4754
- **Phone:** (386) 334-5657
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750147971) · Data from the CMS NPPES public registry.