Sulis Mind and Body LLC
NPI 1528762390 · Psychiatric/Mental Health Nurse Practitioner · Coos Bay, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sulis Mind and Body LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Coos Bay, OR (NPI 1528762390).
Provider details
- NPI number
- 1528762390
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jamie Mayo, Pmhnp(830) 370-3765
Specialties & taxonomies
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
3 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
- 2023-03-28
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Frequently asked questions
- What is Sulis Mind and Body LLC's NPI number?
- Sulis Mind and Body LLC's National Provider Identifier (NPI) is 1528762390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sulis Mind and Body LLC?
- Sulis Mind and Body LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sulis Mind and Body LLC located?
- Sulis Mind and Body LLC's practice location on file with NPPES is 180 S Empire Blvd, Coos Bay, OR 97420-3352.
- What is Sulis Mind and Body LLC's phone number?
- The practice phone number listed in the NPPES registry for Sulis Mind and Body LLC is (541) 203-0154.
- Does Sulis Mind and Body LLC accept Medicare?
- Sulis Mind and Body 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 Sulis Mind and Body LLC?
- The authorized official listed on Sulis Mind and Body LLC's NPPES record is Jamie Mayo, Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sulis Mind and Body LLC's NPI active?
- Yes — Sulis Mind and Body LLC's NPI (1528762390) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.