PHENIX PSYCHIATRIC LLC
NPI 1881322980
Nurse Practitioner - Psychiatric/Mental Health in Bedford, NH

Active since August 08, 2022
109 RIVERWAY PL, BEDFORD, NH 03110(978) 226-8690 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phenix Psychiatric Llc NPPES

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

PHENIX PSYCHIATRIC LLC (NPI 1881322980) is a healthcare organization registered as a psychiatric/mental health in Bedford, New Hampshire and active in the NPI registry since August 2022. The organization lists Jennifer Tawa, Managing Psychiatric Np, as its authorized official.

NPPES Registry Identity

NPI1881322980
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHENIX PSYCHIATRIC LLC
Location Address109 RIVERWAY PLBedford, NH 03110-6730
Mailing Address109 Riverway PlBedford, NH 03110-6730 · (978) 226-8690
Organization SubpartNo
Authorized OfficialJennifer TawaManaging Psychiatric Np · (603) 930-4746
Enumeration DateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1881322980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
109 RIVERWAY PL, Bedford, NH 03110

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 SINGLE SPECIALTY GROUP

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)

Phenix Psychiatric Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Phenix Psychiatric LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1316798937
109 RIVERWAY PL BLDG 1
Bedford, NH 03110
(603) 262-1424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811246978
109 RIVERWAY PL BLDG 1
Bedford, NH 03110
(603) 262-1424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831974948
10I ROESSLER RD
Woburn, MA 01801
(781) 932-8114
✔ PECOS✔ Accepts Medicare36 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 Phenix Psychiatric LLC's NPI number?

The NPI number for Phenix Psychiatric LLC is 1881322980. It was assigned to this organization in the NPPES registry on August 8, 2022.

Where is Phenix Psychiatric LLC located?

Phenix Psychiatric LLC is located at 109 Riverway Pl, Bedford, NH 03110. The listed phone number is (978) 226-8690.

What is Phenix Psychiatric LLC's specialty?

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

Is Phenix Psychiatric LLC enrolled in Medicare?

Yes. Phenix Psychiatric LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phenix Psychiatric LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Phenix Psychiatric 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Phenix Psychiatric LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Phenix Psychiatric 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 Phenix Psychiatric LLC was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.