TEAM MENTATION PLLC
NPI 1942911417
Nurse Practitioner - Psychiatric/Mental Health in Nickelsville, VA

Active since December 06, 2022CLIA 49D2297036 · Waiver
11708 NICKELSVILLE HWY STE 2, NICKELSVILLE, VA 24271(276) 248-1880(276) 258-0616 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Apr 15, 2024, Nov 9, 2023 and 4 more (7 updates tracked since 2022).

About Team Mentation Pllc NPPES

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

TEAM MENTATION PLLC (NPI 1942911417) is a healthcare organization registered as a psychiatric/mental health in Nickelsville, Virginia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Derick Steven Reedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1942911417
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTEAM MENTATION PLLC
Location Address11708 NICKELSVILLE HWY STE 2Nickelsville, VA 24271-2872
Mailing AddressPo Box 270Nickelsville, VA 24271-0270 · (276) 248-1880 · Fax (276) 258-0616
Fax(276) 258-0616
Organization SubpartNo
Authorized OfficialDerick Steven ReedyOwner · (276) 248-1880
Enumeration DateDecember 6, 2022
Last NPPES UpdateMarch 4, 20267 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1942911417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse PractitionerTaxonomy 363L00000X
11708 NICKELSVILLE HWY STE 2, Nickelsville, VA 24271

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Team Mentation Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Team Mentation PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1427684562
11708 NICKELSVILLE HWY STE 2
Nickelsville, VA 24271
(276) 248-1880
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427681899
11708 NICKELSVILLE HWY STE 2
Nickelsville, VA 24271
(276) 248-1880
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1356787873
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
(540) 981-7000
✔ PECOS✔ Accepts Medicare141 mi

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 49D2297036

Team Mentation PLLC · Nickelsville, VA
Active · expires Jan 9, 2028
CLIA Number49D2297036
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorDerick S. Reedy
Laboratory Phone(276) 248-1880
Laboratory LocationTeam Mentation PLLC11708 Nickelsville Hwy, Suite 200, Nickelsville, VA 24271
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Team Mentation PLLC's NPI number?

The NPI number for Team Mentation PLLC is 1942911417. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Team Mentation PLLC located?

Team Mentation PLLC is located at 11708 Nickelsville Hwy Ste 2, Nickelsville, VA 24271. The listed phone number is (276) 248-1880.

What is Team Mentation PLLC's specialty?

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

Is Team Mentation PLLC enrolled in Medicare?

Yes. Team Mentation PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Team Mentation PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Team Mentation PLLC, in Nurse Practitioner and Psychiatry. 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 Team Mentation PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2297036) is associated with this NPI, valid through January 9, 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 Team Mentation PLLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.