EAGLES NEST HOLISTIC MENTAL HEALTH INC
NPI 1962650705
Nurse Practitioner - Psychiatric/Mental Health in Lawrence, KS

Active since September 05, 2008
719 1/2 MASS. SUITE 100, LAWRENCE, KS 66044(913) 530-2802(913) 530-2802 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eagles Nest Holistic Mental Health Inc NPPES

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

EAGLES NEST HOLISTIC MENTAL HEALTH INC (NPI 1962650705) is a healthcare organization registered as a psychiatric/mental health in Lawrence, Kansas and active in the NPI registry since September 2008. The organization lists Lois Ellen Wilkins, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1962650705
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEAGLES NEST HOLISTIC MENTAL HEALTH INC
Location Address719 1/2 MASS. SUITE 100Lawrence, KS 66044
Mailing Address32800 W 91st TerraceDesoto, KS 66018 · (913) 530-2802 · Fax (913) 585-1157
Fax(913) 530-2802
Organization SubpartNo
Authorized OfficialLois Ellen WilkinsOwner/president · (913) 530-2802
Enumeration DateSeptember 5, 2008
Last NPPES UpdateApril 3, 2018
✔ NPI 1962650705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in KS · 74085APNR✔ Licensed in KS · 14-58010-092RN
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 14-58010-092 (KS)
719 1/2 MASS. SUITE 100, Lawrence, KS 66044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Eagles Nest Holistic Mental Health Inc 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 Eagles Nest Holistic Mental Health Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1083710925
719 MASSACHUSETTS ST
Lawrence, KS 66044
(785) 749-1221
✔ PECOS✔ Accepts MedicareSame address

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 Eagles Nest Holistic Mental Health Inc's NPI number?

The NPI number for Eagles Nest Holistic Mental Health Inc is 1962650705. It was assigned to this organization in the NPPES registry on September 5, 2008.

Where is Eagles Nest Holistic Mental Health Inc located?

Eagles Nest Holistic Mental Health Inc is located at 719 1/2 Mass. Suite 100, Lawrence, KS 66044. The listed phone number is (913) 530-2802.

What is Eagles Nest Holistic Mental Health Inc's specialty?

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

Is Eagles Nest Holistic Mental Health Inc enrolled in Medicare?

Yes. Eagles Nest Holistic Mental Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagles Nest Holistic Mental Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eagles Nest Holistic Mental Health Inc. 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.

When was this NPI record last updated?

The NPPES record for Eagles Nest Holistic Mental Health Inc was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.