Wellness360 Primary Care
NPI 1154172773 · Internal Medicine Physician · Port Saint Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellness360 Primary Care is a Internal Medicine Physician organization in Port Saint Lucie, FL (NPI 1154172773).
Provider details
- NPI number
- 1154172773
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yohanna Deno, Owner(764) 670-2685
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-03-31
Frequently asked questions
- What is Wellness360 Primary Care's NPI number?
- Wellness360 Primary Care's National Provider Identifier (NPI) is 1154172773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellness360 Primary Care?
- Wellness360 Primary Care is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellness360 Primary Care located?
- Wellness360 Primary Care's practice location on file with NPPES is 1700 Se Hillmoor Dr Ste 305, Port Saint Lucie, FL 34952-7536.
- What is Wellness360 Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Wellness360 Primary Care is (772) 292-8188.
- Does Wellness360 Primary Care accept Medicare?
- Wellness360 Primary Care 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 Wellness360 Primary Care?
- The authorized official listed on Wellness360 Primary Care's NPPES record is Yohanna Deno, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellness360 Primary Care's NPI active?
- Yes — Wellness360 Primary Care's NPI (1154172773) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.