MINDFUL GRACE WELLNESS LLC
NPI 1851281927
Clinic/Center - Mental Health (Including Community Mental Health Center) in Palatka, FL

Active since July 08, 2025
108 BLACKJACK CIR, PALATKA, FL 32177(386) 385-8460 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mindful Grace Wellness Llc NPPES

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

MINDFUL GRACE WELLNESS LLC (NPI 1851281927) is a healthcare organization registered as a mental health (including community mental health center) in Palatka, Florida and active in the NPI registry since July 2025. The organization lists Rosalee Perez-teel, Pmhnp-c, Owner, as its authorized official.

NPPES Registry Identity

NPI1851281927
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDFUL GRACE WELLNESS LLC
Location Address108 BLACKJACK CIRPalatka, FL 32177
Mailing AddressPo Box 758Hollister, FL 32147-0758
Organization SubpartNo
Authorized OfficialRosalee Perez-teelPmhnp-c, Owner · (386) 546-3190
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1851281927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
108 BLACKJACK CIR, Palatka, FL 32177

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Grace 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 Mindful Grace Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1215748702
3574 US 1 S
St Augustine, FL 32086
(904) 417-7100
✔ PECOS32 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 Mindful Grace Wellness LLC's NPI number?

The NPI number for Mindful Grace Wellness LLC is 1851281927. It was assigned to this organization in the NPPES registry on July 8, 2025.

Where is Mindful Grace Wellness LLC located?

Mindful Grace Wellness LLC is located at 108 Blackjack Cir, Palatka, FL 32177. The listed phone number is (386) 385-8460.

What is Mindful Grace Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mindful Grace Wellness LLC enrolled in Medicare?

Yes. Mindful Grace Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Grace Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Grace 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 Mindful Grace Wellness LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.