HERITAGE WELLNESS, LLC
NPI 1962162917
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since December 17, 2021
12550 BISCAYNE BLVD, SUITE 800, MIAMI, FL 33181(786) 228-6612 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Heritage Wellness, Llc NPPES

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

HERITAGE WELLNESS, LLC (NPI 1962162917), doing business as Heritage Wellness, is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since December 2021. The organization lists Sonia Choute Edouard, Aprn, as its authorized official.

NPPES Registry Identity

NPI1962162917
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHERITAGE WELLNESS, LLC
Location Address12550 BISCAYNE BLVD, SUITE 800Miami, FL 33181
Mailing Address12550 Biscayne Blvd, Suite 800 Pmb 90Miami, FL 33181 · (786) 228-6612
Organization SubpartNo
Authorized OfficialSonia Choute EdouardAprn · (786) 333-7017
Enumeration DateDecember 17, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1962162917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
12550 BISCAYNE BLVD, Miami, FL 33181

Other Names 1

Doing Business AsHeritage Wellness

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heritage Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Heritage Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1396347217
12550 BISCAYNE BLVD SUITE 800
Miami, FL 33181
(786) 228-6612
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831043132
13100 W DIXIE HWY
North Miami, FL 33161
(786) 442-5021
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1073304614
20824 W DIXIE HWY
Miami, FL 33180
(305) 654-0907
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1063270783
4005 NW 114TH AVE UNIT 22
Doral, FL 33178
(305) 260-6913
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1366221905
2010 NW 150TH AVE STE 120
Pembroke Pines, FL 33028
(954) 719-6280
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1679199905
7420 DWELL WELL WAY APT 1302
Winter Park, FL 32792
(954) 654-1741
✔ PECOS199 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 Heritage Wellness, LLC's NPI number?

The NPI number for Heritage Wellness, LLC is 1962162917. It was assigned to this organization in the NPPES registry on December 17, 2021. The provider is doing business as Heritage Wellness.

Where is Heritage Wellness, LLC located?

Heritage Wellness, LLC is located at 12550 Biscayne Blvd Suite 800, Miami, FL 33181. The listed phone number is (786) 228-6612.

What is Heritage Wellness, LLC's specialty?

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

Is Heritage Wellness, LLC enrolled in Medicare?

Yes. Heritage Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Heritage Wellness, 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heritage Wellness, LLC was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.