Wellness Legacy LLC
NPI 1134777576 · Nurse Practitioner · Bel Air, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellness Legacy LLC is a Nurse Practitioner organization in Bel Air, MD (NPI 1134777576).
Provider details
- NPI number
- 1134777576
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mark Ison, Co-Owner(410) 286-1258
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- Wellness Legacy LLC
- Other name
- Wellness Legacy LLC
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Frequently asked questions
- What is Wellness Legacy LLC's NPI number?
- Wellness Legacy LLC's National Provider Identifier (NPI) is 1134777576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellness Legacy LLC?
- Wellness Legacy LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wellness Legacy LLC located?
- Wellness Legacy LLC's practice location on file with NPPES is 260 Gateway Dr Ste 13, Bel Air, MD 21014-4268.
- What is Wellness Legacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Wellness Legacy LLC is (410) 286-1258.
- Does Wellness Legacy LLC accept Medicare?
- Wellness Legacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wellness Legacy LLC?
- The authorized official listed on Wellness Legacy LLC's NPPES record is Mark Ison, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellness Legacy LLC's NPI active?
- Yes — Wellness Legacy LLC's NPI (1134777576) is active in the NPPES registry as of the last update on 2024-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.