BEEWELL CLINIC INC
NPI 1881413896
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO

Active since October 07, 2024
401 MICHIGAN ST, PUEBLO, CO 81004(719) 251-5132 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beewell Clinic Inc NPPES

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

BEEWELL CLINIC INC (NPI 1881413896) is a healthcare organization registered as a psychiatric/mental health in Pueblo, Colorado and active in the NPI registry since October 2024. The organization lists Nicklaus Rendler, Credentialing And Business Manager, as its authorized official.

NPPES Registry Identity

NPI1881413896
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBEEWELL CLINIC INC
Location Address401 MICHIGAN STPueblo, CO 81004-2138
Mailing Address401 Michigan StPueblo, CO 81004-2138
Organization SubpartNo
Authorized OfficialNicklaus RendlerCredentialing And Business Manager · (719) 251-5132
Enumeration DateOctober 7, 2024
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1881413896 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 ListedNurse PractitionerTaxonomy 363L00000X
401 MICHIGAN ST, Pueblo, CO 81004

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Beewell Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1457690232
401 MICHIGAN ST
Pueblo, CO 81004
(719) 766-9360
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861808750
401 MICHIGAN ST
Pueblo, CO 81004
(719) 766-9360
✔ PECOS✔ Accepts MedicareSame address

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 Beewell Clinic Inc's NPI number?

The NPI number for Beewell Clinic Inc is 1881413896. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Beewell Clinic Inc located?

Beewell Clinic Inc is located at 401 Michigan St, Pueblo, CO 81004. The listed phone number is (719) 251-5132.

What is Beewell Clinic Inc's specialty?

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

Is Beewell Clinic Inc enrolled in Medicare?

Yes. Beewell Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beewell Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Beewell Clinic Inc. 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.

When was this NPI record last updated?

The NPPES record for Beewell Clinic Inc was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.