OPTIMAL HEALTH AND WELLNESS CLINIC, LLC
NPI 1912715244
Nurse Practitioner - Family in Dayton, OH

Active since December 19, 2024
5975 KENTSHIRE DR, DAYTON, OH 45440(937) 902-2655(937) 468-4770 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optimal Health And Wellness Clinic, Llc NPPES

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

OPTIMAL HEALTH AND WELLNESS CLINIC, LLC (NPI 1912715244) is a healthcare organization registered as a family in Dayton, Ohio and active in the NPI registry since December 2024. The organization lists Esther Bassaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1912715244
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPTIMAL HEALTH AND WELLNESS CLINIC, LLC
Location Address5975 KENTSHIRE DRDayton, OH 45440-4264
Mailing Address5975 Kentshire DrDayton, OH 45440-4264 · (937) 902-2655 · Fax (937) 468-4770
Fax(937) 468-4770
Organization SubpartNo
Authorized OfficialEsther BassawOwner · (937) 902-2655
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1912715244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5975 KENTSHIRE DR, Dayton, OH 45440

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)

Optimal Health And Wellness Clinic, 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 Optimal Health And Wellness Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1467125047
7700 WASHINGTON VILLAGE DR
Washington Township, OH 45459
(937) 438-0099
✔ PECOS4.3 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 Optimal Health And Wellness Clinic, LLC's NPI number?

The NPI number for Optimal Health And Wellness Clinic, LLC is 1912715244. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Optimal Health And Wellness Clinic, LLC located?

Optimal Health And Wellness Clinic, LLC is located at 5975 Kentshire Dr, Dayton, OH 45440. The listed phone number is (937) 902-2655.

What is Optimal Health And Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Optimal Health And Wellness Clinic, LLC enrolled in Medicare?

Yes. Optimal Health And Wellness Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimal Health And Wellness Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Optimal Health And Wellness Clinic, 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.

What insurance does Optimal Health And Wellness Clinic, LLC accept?

Health plans from Molina Healthcare list Optimal Health And Wellness Clinic, 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 Optimal Health And Wellness Clinic, LLC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.