ELITE WELLNESS & AESTHETICS, PLLC
NPI 1780451088
Nurse Practitioner - Family in Fort Smith, AR

Active since December 06, 2023CLIA 04D2296858 · Waiver
6108 S 31ST ST, FORT SMITH, AR 72908(479) 242-9355 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Dec 14, 2023, Dec 6, 2023 (3 updates tracked since 2023).

About Elite Wellness & Aesthetics, Pllc NPPES

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

ELITE WELLNESS & AESTHETICS, PLLC (NPI 1780451088) is a healthcare organization registered as a family in Fort Smith, Arkansas and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Amanda Michelle Day, Owner, as its authorized official.

NPPES Registry Identity

NPI1780451088
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE WELLNESS & AESTHETICS, PLLC
Location Address6108 S 31ST STFort Smith, AR 72908-7555
Mailing Address6108 S 31st StFort Smith, AR 72908-7555 · (479) 242-9355
Organization SubpartNo
Authorized OfficialAmanda Michelle DayOwner · (479) 242-9355
Enumeration DateDecember 6, 2023
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1780451088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6108 S 31ST ST, Fort Smith, AR 72908

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

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)

Elite Wellness & Aesthetics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Elite Wellness & Aesthetics, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1558715987
6108 S 31ST ST
Fort Smith, AR 72908
(479) 242-9355
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225722804
6108 S 31ST ST
Fort Smith, AR 72908
(479) 242-9355
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225516826
6108 S 31ST ST
Fort Smith, AR 72908
(479) 242-9355
✔ 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.

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 04D2296858

Elite Wellness And Aesthetics · Fort Smith, AR
Active · expires Jan 7, 2028
CLIA Number04D2296858
Laboratory TypePrivate Wellness Clinic
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorMs. Amanda Day
Laboratory Phone(479) 242-9355
Laboratory LocationElite Wellness And Aesthetics6108 South 31st Street, Fort Smith, AR 72908
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Wellness & Aesthetics, PLLC's NPI number?

The NPI number for Elite Wellness & Aesthetics, PLLC is 1780451088. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Elite Wellness & Aesthetics, PLLC located?

Elite Wellness & Aesthetics, PLLC is located at 6108 S 31st St, Fort Smith, AR 72908. The listed phone number is (479) 242-9355.

What is Elite Wellness & Aesthetics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elite Wellness & Aesthetics, PLLC enrolled in Medicare?

Yes. Elite Wellness & Aesthetics, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Wellness & Aesthetics, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elite Wellness & Aesthetics, 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Wellness & Aesthetics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2296858) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Wellness & Aesthetics, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Elite Wellness & Aesthetics, 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 Elite Wellness & Aesthetics, PLLC was last updated on August 5, 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.