MINDFUL MEDICINE 360
NPI 1912722554
Nurse Practitioner - Psychiatric/Mental Health in Cedar Rapids, IA
About Mindful Medicine 360 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL MEDICINE 360 (NPI 1912722554), doing business as Mm360, is a healthcare organization registered as a psychiatric/mental health in Cedar Rapids, Iowa and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through July 23, 2028 and lists Jeanne Marie Fournier, Psychiatric Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindful Medicine 360 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindful Medicine 360, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D2347821
Mindful Medicine 360 · Cedar Rapids, IAFrequently 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 Mindful Medicine 360's NPI number?
The NPI number for Mindful Medicine 360 is 1912722554. It was assigned to this organization in the NPPES registry on November 19, 2024. The provider is doing business as Mm360.
Where is Mindful Medicine 360 located?
Mindful Medicine 360 is located at 4403 1st Ave SE Ste 220, Cedar Rapids, IA 52402. The listed phone number is (319) 900-4525.
What is Mindful Medicine 360's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindful Medicine 360 enrolled in Medicare?
Yes. Mindful Medicine 360 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Medicine 360?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mindful Medicine 360, in Clinical Social Worker and Nurse Practitioner. 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.
Does Mindful Medicine 360 hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2347821) is associated with this NPI, valid through July 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mindful Medicine 360 was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Mindful Medicine 360 · NPI 1912722554
Psychiatric/Mental Health organization in Cedar Rapids, Iowa. Organization record, active in the CMS NPPES registry since November 19, 2024.
## Identity
- **NPI:** 1912722554 (Entity type: Organization)
- **Enumerated:** November 19, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** MM360 (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jeanne Marie Fournier, PSYCHIATRIC NP
## Practice location
- **Address:** 4403 1ST AVE SE STE 220, Cedar Rapids, IA 52402-3221
- **Phone:** (319) 900-4525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912722554) · Data from the CMS NPPES public registry.