Aquarius Medical & Wellness Clinic, LLC
NPI 1689472904 · Primary Care Nurse Practitioner · Santa Fe, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aquarius Medical & Wellness Clinic, LLC is a Primary Care Nurse Practitioner organization in Santa Fe, NM (NPI 1689472904).
Provider details
- NPI number
- 1689472904
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Olis, Owner(813) 484-2335
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-03-04
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Aquarius Medical & Wellness Clinic, LLC's NPI number?
- Aquarius Medical & Wellness Clinic, LLC's National Provider Identifier (NPI) is 1689472904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aquarius Medical & Wellness Clinic, LLC?
- Aquarius Medical & Wellness Clinic, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Aquarius Medical & Wellness Clinic, LLC located?
- Aquarius Medical & Wellness Clinic, LLC's practice location on file with NPPES is 6 Calle Medico Ste 4, Santa Fe, NM 87505-4761.
- What is Aquarius Medical & Wellness Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Aquarius Medical & Wellness Clinic, LLC is (813) 484-2335.
- Does Aquarius Medical & Wellness Clinic, LLC accept Medicare?
- Aquarius Medical & Wellness Clinic, 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 Aquarius Medical & Wellness Clinic, LLC?
- The authorized official listed on Aquarius Medical & Wellness Clinic, LLC's NPPES record is Elizabeth Olis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aquarius Medical & Wellness Clinic, LLC's NPI active?
- Yes — Aquarius Medical & Wellness Clinic, LLC's NPI (1689472904) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.