BALANCED WELLNESS LLC
NPI 1790433456
Nurse Practitioner - Primary Care in Tulsa, OK
About Balanced Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALANCED WELLNESS LLC (NPI 1790433456) is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since March 2022. The organization lists Jessica Ann Brewer, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Balanced 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 Balanced Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Balanced Wellness LLC's NPI number?
The NPI number for Balanced Wellness LLC is 1790433456. It was assigned to this organization in the NPPES registry on March 11, 2022.
Where is Balanced Wellness LLC located?
Balanced Wellness LLC is located at 4146 S Harvard Ave Ste F6, Tulsa, OK 74135. The listed phone number is (918) 716-9717.
What is Balanced Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Balanced Wellness LLC enrolled in Medicare?
Yes. Balanced Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Balanced Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Balanced 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.
When was this NPI record last updated?
The NPPES record for Balanced Wellness LLC was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Balanced Wellness Llc · NPI 1790433456
Primary Care organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since March 11, 2022.
## Identity
- **NPI:** 1790433456 (Entity type: Organization)
- **Enumerated:** March 11, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Jessica Brewer, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 4146 S HARVARD AVE STE F6, Tulsa, OK 74135-2642
- **Phone:** (918) 716-9717 · **Fax:** (855) 853-7274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790433456) · Data from the CMS NPPES public registry.