STELLAR HEALTH & WELLNESS CLINIC LLC
NPI 1952166423
Nurse Practitioner - Family in Columbus, OH

Active since February 14, 2024CLIA 36D2306054 · Waiver
5957 CLEVELAND AVE, COLUMBUS, OH 43231(614) 394-8092(614) 394-8078 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Stellar Health & Wellness Clinic Llc NPPES

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

STELLAR HEALTH & WELLNESS CLINIC LLC (NPI 1952166423) is a healthcare organization registered as a family in Columbus, Ohio and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Fidelis N Elokobi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952166423
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSTELLAR HEALTH & WELLNESS CLINIC LLC
Location Address5957 CLEVELAND AVEColumbus, OH 43231-2210
Mailing Address1007 Meadowsweet DrEnglewood, OH 45315-7718 · (937) 750-5309
Fax(614) 394-8078
Organization SubpartNo
Authorized OfficialFidelis N ElokobiCeo · (419) 779-4854
Enumeration DateFebruary 14, 2024
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1952166423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5957 CLEVELAND AVE, Columbus, OH 43231

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)

Stellar Health & 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 Stellar Health & Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154564276
1007 MEADOWSWEET DR
Clayton, OH 45315
(937) 837-0607
✔ PECOS75 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 36D2306054

Stellar Health & Wellness Clinic LLC · Columbus, OH
Active · expires Jun 10, 2028
CLIA Number36D2306054
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorFidelis Elokobi
Laboratory Phone(614) 394-8092
Laboratory LocationStellar Health & Wellness Clinic LLC5957 Cleveland Avenue, Columbus, OH 43231
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 Stellar Health & Wellness Clinic LLC's NPI number?

The NPI number for Stellar Health & Wellness Clinic LLC is 1952166423. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Stellar Health & Wellness Clinic LLC located?

Stellar Health & Wellness Clinic LLC is located at 5957 Cleveland Ave, Columbus, OH 43231. The listed phone number is (614) 394-8092.

What is Stellar Health & Wellness Clinic LLC's specialty?

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

Is Stellar Health & Wellness Clinic LLC enrolled in Medicare?

Yes. Stellar Health & Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stellar Health & Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stellar Health & 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.

Does Stellar Health & Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2306054) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stellar Health & Wellness Clinic LLC accept?

Health plans from Molina Healthcare list Stellar Health & 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 Stellar Health & Wellness Clinic LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.