ACHIEVE PSYCHIATRIC WELLNESS CENTER LLC
NPI 1821613506
Nurse Practitioner - Psychiatric/Mental Health in St Johns, FL

Q: What is Achieve Psychiatric Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 09, 2020

1209 WEDGEWOOD RD, ST JOHNS, FL 32259(630) 888-5985 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 21, 2026, Apr 5, 2023, Jun 9, 2020 (3 updates tracked since 2020).

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About Achieve Psychiatric Wellness Center Llc NPPES

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

ACHIEVE PSYCHIATRIC WELLNESS CENTER LLC (NPI 1821613506) is a healthcare organization registered as a psychiatric/mental health in St Johns, Florida and active in the NPI registry since June 2020. The organization maintains 4 additional practice locations and lists Dana M Hatwig, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1821613506

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameACHIEVE PSYCHIATRIC WELLNESS CENTER LLC

Location Address1209 WEDGEWOOD RDSt Johns, FL 32259-9012

Mailing Address450 State Road 13 N Ste 106, 493St Johns, FL 32259-3863 · (904) 517-8900 · Fax (949) 703-8088

Phone(630) 888-5985

Organization SubpartNo

Authorized OfficialDana M HatwigPmhnp-bc · (904) 517-8900

Enumeration DateJune 9, 2020

Last NPPES UpdateJune 18, 20263 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1821613506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X

1209 WEDGEWOOD RD, St Johns, FL 32259

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Secondary Practice Locations 4

Location 14620 E 53rd St Ste 200Davenport, IA 52807-3627 · Phone (904) 517-8900

Location 224 Opera House Sq Ste 408WClaremont, NH 03743-5408 · Phone (904) 517-8900

Location 3291 Arrington Ln Ste 302Roanoke, VA 24019-8274 · Phone (904) 517-8900

Location 43707 E Southern AveMesa, AZ 85206-2569 · Phone (904) 517-8900

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Achieve Psychiatric Wellness Center 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 Achieve Psychiatric Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dana Hatwig, APRN

Nurse Practitioner

NPI 1366095564

450 STATE ROAD 13 STE 106-493
St Johns, FL 32259

(904) 517-8900

✔ PECOS✔ Accepts Medicare1.9 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 Achieve Psychiatric Wellness Center LLC's NPI number?

The NPI number for Achieve Psychiatric Wellness Center LLC is 1821613506. It was assigned to this organization in the NPPES registry on June 9, 2020.

Where is Achieve Psychiatric Wellness Center LLC located?

Achieve Psychiatric Wellness Center LLC is located at 1209 Wedgewood Rd, St Johns, FL 32259. The listed phone number is (630) 888-5985.

What is Achieve Psychiatric Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Achieve Psychiatric Wellness Center LLC enrolled in Medicare?

Yes. Achieve Psychiatric Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Achieve Psychiatric Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Achieve Psychiatric Wellness Center 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 Achieve Psychiatric Wellness Center LLC was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.