ELYSIAN WELLNESS CAMPUS LLC
NPI 1972499648
Internal Medicine in Kansas City, MO

Q: What is Elysian Wellness Campus LLC's NPI number?

The NPI number for Elysian Wellness Campus LLC is 1972499648. It was assigned to this organization in the NPPES registry on June 17, 2025.

Q: What is Elysian Wellness Campus LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 17, 2025

2460 BROOKLYN AVE, KANSAS CITY, MO 64127(336) 558-6198 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Elysian Wellness Campus Llc NPPES

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

ELYSIAN WELLNESS CAMPUS LLC (NPI 1972499648) is a healthcare organization registered as an internal medicine in Kansas City, Missouri and active in the NPI registry since June 2025. The organization lists Chereena Walker, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1972499648

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameELYSIAN WELLNESS CAMPUS LLC

Location Address2460 BROOKLYN AVEKansas City, MO 64127-3819

Mailing Address2460 Brooklyn AveKansas City, MO 64127-3819 · (816) 300-3386 · Fax (816) 603-2754

Phone(336) 558-6198

Organization SubpartNo

Authorized OfficialChereena WalkerOwner/ceo · (816) 300-3386

Enumeration DateJune 17, 2025

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1972499648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2460 BROOKLYN AVE, Kansas City, MO 64127

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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)

Elysian Wellness Campus 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 Elysian Wellness Campus LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chereena Walker, D.O.

Internal Medicine

NPI 1457703530

2460 BROOKLYN AVE
Kansas City, MO 64127

(816) 300-3386

✔ 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 Elysian Wellness Campus LLC's NPI number?

The NPI number for Elysian Wellness Campus LLC is 1972499648. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Elysian Wellness Campus LLC located?

Elysian Wellness Campus LLC is located at 2460 Brooklyn Ave, Kansas City, MO 64127. The listed phone number is (336) 558-6198.

What is Elysian Wellness Campus LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elysian Wellness Campus LLC enrolled in Medicare?

Yes. Elysian Wellness Campus LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elysian Wellness Campus LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Elysian Wellness Campus 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.

When was this NPI record last updated?

The NPPES record for Elysian Wellness Campus LLC was last updated on February 17, 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.