BODHI WELLNESS, LLC
NPI 1982494837
Nurse Practitioner in Norfolk, VA

Active since May 12, 2025
1331 WILLOW WOOD DR, NORFOLK, VA 23509(757) 239-5858 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bodhi Wellness, Llc NPPES

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

BODHI WELLNESS, LLC (NPI 1982494837) is a healthcare organization registered as a nurse practitioner in Norfolk, Virginia and active in the NPI registry since May 2025. The organization lists Shannon Coulson, Owner, as its authorized official.

NPPES Registry Identity

NPI1982494837
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBODHI WELLNESS, LLC
Location Address1331 WILLOW WOOD DRNorfolk, VA 23509-1303
Mailing Address4901 Colley AveNorfolk, VA 23508-2067 · (757) 681-6634
Organization SubpartNo
Authorized OfficialShannon CoulsonOwner · (757) 239-5858
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1982494837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1331 WILLOW WOOD DR, Norfolk, VA 23509

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bodhi Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1295237477
4901 COLLEY AVE
Norfolk, VA 23508
(757) 239-5858
✔ PECOS✔ Accepts Medicare1.3 mi
Mental Health Counselor
NPI 1649118662
8306 JORDAN VALLEY WAY
Frederick, MD 21702
(757) 239-5858
✔ PECOS✔ Accepts Medicare189 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 Bodhi Wellness, LLC's NPI number?

The NPI number for Bodhi Wellness, LLC is 1982494837. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Bodhi Wellness, LLC located?

Bodhi Wellness, LLC is located at 1331 Willow Wood Dr, Norfolk, VA 23509. The listed phone number is (757) 239-5858.

What is Bodhi Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bodhi Wellness, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Bodhi Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bodhi Wellness, LLC, in Mental Health Counselor and Nurse Practitioner. 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 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 Bodhi Wellness, LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.