SHINING PATH WELLNESS CLINIC LLC
NPI 1851277370
Nurse Practitioner - Psychiatric/Mental Health in Rockville, MD
About Shining Path Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINING PATH WELLNESS CLINIC LLC (NPI 1851277370) is a healthcare organization registered as a psychiatric/mental health in Rockville, Maryland and active in the NPI registry since August 2025. The organization lists Afusat Deng, Owner, 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)
Shining Path Wellness Clinic 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 Shining Path Wellness Clinic 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 Shining Path Wellness Clinic LLC's NPI number?
The NPI number for Shining Path Wellness Clinic LLC is 1851277370. It was assigned to this organization in the NPPES registry on August 12, 2025.
Where is Shining Path Wellness Clinic LLC located?
Shining Path Wellness Clinic LLC is located at 12345 Parklawn Dr Ste 200, Rockville, MD 20852. The listed phone number is (301) 355-3145.
What is Shining Path Wellness Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shining Path Wellness Clinic LLC enrolled in Medicare?
Yes. Shining Path Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shining Path Wellness Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shining Path Wellness Clinic 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 Shining Path Wellness Clinic LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Shining Path Wellness Clinic Llc · NPI 1851277370
Psychiatric/Mental Health organization in Rockville, Maryland. Organization record, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1851277370 (Entity type: Organization)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Afusat Deng, OWNER
## Practice location
- **Address:** 12345 PARKLAWN DR STE 200, Rockville, MD 20852-1725
- **Phone:** (301) 355-3145
## 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:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851277370) · Data from the CMS NPPES public registry.