ETERNE WELLNESS LLC
NPI 1780356626
Clinic/Center - Mental Health (Including Community Mental Health Center) in Las Vegas, NV

Active since September 29, 2021
2820 W CHARLESTON BLVD STE 38, LAS VEGAS, NV 89102(725) 895-9300 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Jan 11, 2023, Sep 29, 2021 (3 updates tracked since 2021).

About Eterne Wellness Llc NPPES

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

ETERNE WELLNESS LLC (NPI 1780356626) is a healthcare organization registered as a mental health (including community mental health center) in Las Vegas, Nevada and active in the NPI registry since September 2021. The organization lists Judith Cherotich Leitich, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1780356626
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameETERNE WELLNESS LLC
Location Address2820 W CHARLESTON BLVD STE 38Las Vegas, NV 89102-1934
Mailing Address2954 Majestic Heights CtLas Vegas, NV 89117-2582 · (415) 200-7070
Organization SubpartNo
Authorized OfficialJudith Cherotich LeitichNurse Practitioner · (415) 200-7070
Enumeration DateSeptember 29, 2021
Last NPPES UpdateApril 26, 20243 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1780356626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2820 W CHARLESTON BLVD STE 38, Las Vegas, NV 89102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eterne 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 Eterne Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1346832110
2820 W CHARLESTON BLVD STE 38
Las Vegas, NV 89102
(725) 895-9300
✔ 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 Eterne Wellness LLC's NPI number?

The NPI number for Eterne Wellness LLC is 1780356626. It was assigned to this organization in the NPPES registry on September 29, 2021.

Where is Eterne Wellness LLC located?

Eterne Wellness LLC is located at 2820 W Charleston Blvd Ste 38, Las Vegas, NV 89102. The listed phone number is (725) 895-9300.

What is Eterne Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Eterne Wellness LLC enrolled in Medicare?

Yes. Eterne Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eterne Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eterne 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.

What insurance does Eterne Wellness LLC accept?

Health plans from Molina Healthcare list Eterne Wellness LLC 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 Eterne Wellness LLC was last updated on April 26, 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.