ATHENA MEDICAL & WELLNESS LLC
NPI 1801657572
Nurse Practitioner - Family in North Bend, OR
About Athena Medical & Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHENA MEDICAL & WELLNESS LLC (NPI 1801657572) is a healthcare organization registered as a family in North Bend, Oregon and active in the NPI registry since January 2024. The organization lists Pei Harris, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Athena Medical & 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 Athena Medical & 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 Athena Medical & Wellness LLC's NPI number?
The NPI number for Athena Medical & Wellness LLC is 1801657572. It was assigned to this organization in the NPPES registry on January 19, 2024.
Where is Athena Medical & Wellness LLC located?
Athena Medical & Wellness LLC is located at 3688 Chester St, North Bend, OR 97459. The listed phone number is (541) 283-5662.
What is Athena Medical & Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Athena Medical & Wellness LLC enrolled in Medicare?
Yes. Athena Medical & Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Athena Medical & Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Athena Medical & 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 Athena Medical & Wellness LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Athena Medical & 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 Athena Medical & Wellness LLC was last updated on January 19, 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.
# Athena Medical & Wellness Llc · NPI 1801657572
Family organization in North Bend, Oregon. Organization record, active in the CMS NPPES registry since January 19, 2024.
## Identity
- **NPI:** 1801657572 (Entity type: Organization)
- **Enumerated:** January 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Pei Harris, OWNER
## Practice location
- **Address:** 3688 CHESTER ST, North Bend, OR 97459-2418
- **Phone:** (541) 283-5662 · **Fax:** (541) 866-3688
## 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:** January 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801657572) · Data from the CMS NPPES public registry.