HOLISTIC WELLNESS GROUP LLC
NPI 1962199745
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA
About Holistic Wellness Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLISTIC WELLNESS GROUP LLC (NPI 1962199745) is a healthcare organization registered as a psychiatric/mental health in Fredericksburg, Virginia and active in the NPI registry since April 2023. The organization lists Emigdus Nkem, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Holistic Wellness Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Holistic Wellness Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Fredericksburg, VA 22407
Fredericksburg, VA 22407
Fredericksburg, VA 22407
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 Holistic Wellness Group LLC's NPI number?
The NPI number for Holistic Wellness Group LLC is 1962199745. It was assigned to this organization in the NPPES registry on April 20, 2023.
Where is Holistic Wellness Group LLC located?
Holistic Wellness Group LLC is located at 6308 Five Mile Centre Park Ste 217, Fredericksburg, VA 22407. The listed phone number is (571) 409-8390.
What is Holistic Wellness Group LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Holistic Wellness Group LLC enrolled in Medicare?
Yes. Holistic Wellness Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holistic Wellness Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Holistic Wellness Group 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. The largest specialties are Nurse Practitioner (5) and Clinical Social Worker (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Holistic Wellness Group LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Holistic Wellness Group Llc · NPI 1962199745
Psychiatric/Mental Health organization in Fredericksburg, Virginia. Organization record, active in the CMS NPPES registry since April 20, 2023.
## Identity
- **NPI:** 1962199745 (Entity type: Organization)
- **Enumerated:** April 20, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Emigdus Nkem, DIRECTOR
## Practice location
- **Address:** 6308 FIVE MILE CENTRE PARK STE 217, Fredericksburg, VA 22407-5508
- **Phone:** (571) 409-8390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962199745) · Data from the CMS NPPES public registry.