WELLNESS SOURCE LLC
NPI 1780031724
Nurse Practitioner - Family in Hyattsville, MD
About Wellness Source Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLNESS SOURCE LLC (NPI 1780031724), doing business as Your Wellness Sources, is a healthcare organization registered as a family in Hyattsville, Maryland and active in the NPI registry since May 2016. The organization lists Marshalee George, Ceo, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 12
Other Names 2
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellness Source Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Wellness Source LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Washington Dc, DC 20010
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 Wellness Source LLC's NPI number?
The NPI number for Wellness Source LLC is 1780031724. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is doing business as Your Wellness Sources. The provider is also known as Your Wellness Sources - Primary Care.
Where is Wellness Source LLC located?
Wellness Source LLC is located at 4301 Garden City Dr Ste 304, Hyattsville, MD 20785. The listed phone number is (301) 235-0060.
What is Wellness Source LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Wellness Source LLC enrolled in Medicare?
Yes. Wellness Source LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellness Source LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Wellness Source 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. The largest specialties are Nurse Practitioner (15), Podiatry (1) and Registered Dietitian or Nutrition Professional (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellness Source LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Wellness Source Llc · NPI 1780031724
Family organization in Hyattsville, Maryland. Organization record, active in the CMS NPPES registry since May 19, 2016.
## Identity
- **NPI:** 1780031724 (Entity type: Organization)
- **Enumerated:** May 19, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Your Wellness Sources (Doing Business As); Your Wellness Sources - Primary Care (Other Name)
- **Organization subpart:** No
- **Authorized official:** Marshalee George, CEO, MEDICAL DIRECTOR
## Practice location
- **Address:** 4301 GARDEN CITY DR STE 304, Hyattsville, MD 20785-6105
- **Phone:** (301) 235-0060 · **Fax:** (240) 324-7720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Podiatry (1), Registered Dietitian or Nutrition Professional (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Medicaid 600082700 (MD); Medicaid 971669 (NJ); Medicaid 051747821 (DC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780031724) · Data from the CMS NPPES public registry.