DIVERSE WELLNESS SOLUTIONS INC
NPI 1912299173
Clinical Nurse Specialist - Psychiatric/Mental Health in Fuquay Varina, NC
About Diverse Wellness Solutions Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSE WELLNESS SOLUTIONS INC (NPI 1912299173) is a healthcare organization registered as a psychiatric/mental health in Fuquay Varina, North Carolina and active in the NPI registry since May 2011. The organization lists Kimball Jane-marie Sargent, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diverse Wellness Solutions Inc 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 Diverse Wellness Solutions Inc, 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 Diverse Wellness Solutions Inc's NPI number?
The NPI number for Diverse Wellness Solutions Inc is 1912299173. It was assigned to this organization in the NPPES registry on May 6, 2011.
Where is Diverse Wellness Solutions Inc located?
Diverse Wellness Solutions Inc is located at 7155 Sunset Lake Rd, Fuquay Varina, NC 27526. The listed phone number is (919) 838-0804.
What is Diverse Wellness Solutions Inc's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.
Is Diverse Wellness Solutions Inc enrolled in Medicare?
Yes. Diverse Wellness Solutions Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diverse Wellness Solutions Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns their Medicare billing to Diverse Wellness Solutions 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Diverse Wellness Solutions Inc was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Diverse Wellness Solutions Inc · NPI 1912299173
Psychiatric/Mental Health organization in Fuquay Varina, North Carolina. Organization record, active in the CMS NPPES registry since May 6, 2011.
## Identity
- **NPI:** 1912299173 (Entity type: Organization)
- **Enumerated:** May 6, 2011
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health · taxonomy 364SP0808X
- **Organization subpart:** No
- **Authorized official:** Kimball Sargent, OWNER/PRESIDENT
## Practice location
- **Address:** 7155 SUNSET LAKE RD, Fuquay Varina, NC 27526-8638
- **Phone:** (919) 838-0804 · **Fax:** (919) 838-1219
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2016
- **Other identifiers:** Medicare UPIN S79270 (NC); Other 10079 (NC); Other 527619 (NC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912299173) · Data from the CMS NPPES public registry.