FUSION MIND & BODY LLC
NPI 1891568416
Nurse Practitioner - Psychiatric/Mental Health in Fort Lauderdale, FL

Active since November 06, 2023
1500 NW 62ND ST STE 303, FORT LAUDERDALE, FL 33309(954) 951-2242 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fusion Mind & Body Llc NPPES

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

FUSION MIND & BODY LLC (NPI 1891568416) is a healthcare organization registered as a psychiatric/mental health in Fort Lauderdale, Florida and active in the NPI registry since November 2023. The organization lists Erika Regis, Owner, as its authorized official.

NPPES Registry Identity

NPI1891568416
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFUSION MIND & BODY LLC
Location Address1500 NW 62ND ST STE 303Fort Lauderdale, FL 33309-1850
Mailing Address1500 Nw 62nd St Ste 303Fort Lauderdale, FL 33309-1850
Organization SubpartNo
Authorized OfficialErika RegisOwner · (954) 951-2242
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 5, 2023
✔ NPI 1891568416 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
1500 NW 62ND ST STE 303, Fort Lauderdale, FL 33309

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)

Fusion Mind & Body 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 Fusion Mind & Body LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1871856211
1880 NW 36TH ST
Oakland Park, FL 33309
(973) 818-9654
✔ PECOS✔ Accepts Medicare2.2 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 Fusion Mind & Body LLC's NPI number?

The NPI number for Fusion Mind & Body LLC is 1891568416. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Fusion Mind & Body LLC located?

Fusion Mind & Body LLC is located at 1500 NW 62nd St Ste 303, Fort Lauderdale, FL 33309. The listed phone number is (954) 951-2242.

What is Fusion Mind & Body LLC's specialty?

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

Is Fusion Mind & Body LLC enrolled in Medicare?

Yes. Fusion Mind & Body LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fusion Mind & Body LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fusion Mind & Body 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 Fusion Mind & Body LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.