ASTRUM WELLNESS AND RECOVERY LLC
NPI 1801575972
Preventive Medicine - Addiction Medicine in Fort Wayne, IN

Active since July 14, 2023
129 E DEWALD ST, FORT WAYNE, IN 46803(260) 280-3341 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Astrum Wellness And Recovery Llc NPPES

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

ASTRUM WELLNESS AND RECOVERY LLC (NPI 1801575972) is a healthcare organization registered as an addiction medicine in Fort Wayne, Indiana and active in the NPI registry since July 2023. The organization lists Kimberly Latibeaudier, Co Director, as its authorized official.

NPPES Registry Identity

NPI1801575972
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameASTRUM WELLNESS AND RECOVERY LLC
Location Address129 E DEWALD STFort Wayne, IN 46803-3317
Mailing Address2712 N Wells StFort Wayne, IN 46808-2102 · (317) 608-7856
Organization SubpartNo
Authorized OfficialKimberly LatibeaudierCo Director · (260) 280-3341
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1801575972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
129 E DEWALD ST, Fort Wayne, IN 46803

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)

Astrum Wellness And Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Astrum Wellness And Recovery LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1265880074
1720 BEACON ST
Fort Wayne, IN 46805
(260) 373-7602
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1720601651
6326 CONSTITUTION DR
Fort Wayne, IN 46804
(260) 515-3275
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1548529084
6326 CONSTITUTION DR
Ft Wayne, IN 46804
(260) 515-3275
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1194955757
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 434-7088
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1619160132
6905 E 96TH ST SUITE 300
Indianapolis, IN 46250
(317) 621-6660
✔ PECOS✔ Accepts Medicare92 mi

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 Astrum Wellness And Recovery LLC's NPI number?

The NPI number for Astrum Wellness And Recovery LLC is 1801575972. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Astrum Wellness And Recovery LLC located?

Astrum Wellness And Recovery LLC is located at 129 E Dewald St, Fort Wayne, IN 46803. The listed phone number is (260) 280-3341.

What is Astrum Wellness And Recovery LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Astrum Wellness And Recovery LLC enrolled in Medicare?

Yes. Astrum Wellness And Recovery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Astrum Wellness And Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Astrum Wellness And Recovery 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 (4) and Clinical Social Worker (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Astrum Wellness And Recovery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Astrum Wellness And Recovery 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 Astrum Wellness And Recovery LLC was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.