PEDREGOSA-DY HOLISTIC WELLNESS LLC
NPI 1831855683
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
About Pedregosa-dy Holistic Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDREGOSA-DY HOLISTIC WELLNESS LLC (NPI 1831855683) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since November 2021. The organization lists Ian Dy, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Pedregosa-dy Holistic 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 Pedregosa-Dy Holistic 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 Pedregosa-Dy Holistic Wellness LLC's NPI number?
The NPI number for Pedregosa-Dy Holistic Wellness LLC is 1831855683. It was assigned to this organization in the NPPES registry on November 15, 2021.
Where is Pedregosa-Dy Holistic Wellness LLC located?
Pedregosa-Dy Holistic Wellness LLC is located at 7301 N 16th St Ste 102, Phoenix, AZ 85020. The listed phone number is (480) 280-8690.
What is Pedregosa-Dy Holistic Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Pedregosa-Dy Holistic Wellness LLC enrolled in Medicare?
Yes. Pedregosa-Dy Holistic Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pedregosa-Dy Holistic Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pedregosa-Dy Holistic 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 Pedregosa-Dy Holistic Wellness LLC was last updated on April 1, 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.
# Pedregosa-Dy Holistic Wellness Llc · NPI 1831855683
Psychiatric/Mental Health organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since November 15, 2021.
## Identity
- **NPI:** 1831855683 (Entity type: Organization)
- **Enumerated:** November 15, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Ian Dy, NURSE PRACTITIONER
## Practice location
- **Address:** 7301 N 16TH ST STE 102, Phoenix, AZ 85020-5266
- **Phone:** (480) 280-8690
## 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:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831855683) · Data from the CMS NPPES public registry.