Be Well Adult, NP, PLLC
NPI 1104677095 · Nurse Practitioner · Bohemia, NY
Be Well Adult, NP, PLLC is a Nurse Practitioner organization in Bohemia, NY (NPI 1104677095).
Provider details
- NPI number
- 1104677095
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Be Well Adult, NP, PLLC
- Organization subpart
- Yes
- Authorized official
- Nicole Flemming, Billing and Credentialing Manager(843) 640-9342
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Envision Intergrative Services
- Other name
- Envision Intergrative Services
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Frequently asked questions
- What is Be Well Adult, NP, PLLC's NPI number?
- Be Well Adult, NP, PLLC's National Provider Identifier (NPI) is 1104677095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Be Well Adult, NP, PLLC?
- Be Well Adult, NP, PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Be Well Adult, NP, PLLC located?
- Be Well Adult, NP, PLLC's practice location on file with NPPES is 1461 Lakeland Ave Unit 9, Bohemia, NY 11716-2174.
- What is Be Well Adult, NP, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Be Well Adult, NP, PLLC is (631) 467-8224.
- Who is the authorized official for Be Well Adult, NP, PLLC?
- The authorized official listed on Be Well Adult, NP, PLLC's NPPES record is Nicole Flemming, Billing and Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Be Well Adult, NP, PLLC's NPI active?
- Yes — Be Well Adult, NP, PLLC's NPI (1104677095) is active in the NPPES registry as of the last update on 2024-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.