Rising Phoenix Mental Wellness, PLLC
NPI 1659208072 · Psychiatric/Mental Health Nurse Practitioner · Conneaut Lake, PA
Rising Phoenix Mental Wellness, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Conneaut Lake, PA (NPI 1659208072).
Provider details
- NPI number
- 1659208072
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Katelyn Mckibben, Psychiatric Nurse Practitioner(814) 230-7921
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
Under 1 yr in 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
- 2026-05-07
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Rising Phoenix Mental Wellness, PLLC's NPI number?
- Rising Phoenix Mental Wellness, PLLC's National Provider Identifier (NPI) is 1659208072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rising Phoenix Mental Wellness, PLLC?
- Rising Phoenix Mental Wellness, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rising Phoenix Mental Wellness, PLLC located?
- Rising Phoenix Mental Wellness, PLLC's practice location on file with NPPES is 145 Water St, Conneaut Lake, PA 16316-7279.
- What is Rising Phoenix Mental Wellness, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Rising Phoenix Mental Wellness, PLLC is (814) 230-7921.
- Who is the authorized official for Rising Phoenix Mental Wellness, PLLC?
- The authorized official listed on Rising Phoenix Mental Wellness, PLLC's NPPES record is Katelyn Mckibben, Psychiatric Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rising Phoenix Mental Wellness, PLLC's NPI active?
- Yes — Rising Phoenix Mental Wellness, PLLC's NPI (1659208072) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.