Addiction Wellness Center in LLC
NPI 1720703382 · Nurse Practitioner · Jeffersonville, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Addiction Wellness Center in LLC is a Nurse Practitioner organization in Jeffersonville, IN (NPI 1720703382).
Provider details
- NPI number
- 1720703382
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessie Costley, Credentialing Specialist(443) 839-6928
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
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
- 2022-10-06
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Frequently asked questions
- What is Addiction Wellness Center in LLC's NPI number?
- Addiction Wellness Center in LLC's National Provider Identifier (NPI) is 1720703382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Addiction Wellness Center in LLC?
- Addiction Wellness Center in LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Addiction Wellness Center in LLC located?
- Addiction Wellness Center in LLC's practice location on file with NPPES is 202 E Maple St, Jeffersonville, IN 47130-3420.
- What is Addiction Wellness Center in LLC's phone number?
- The practice phone number listed in the NPPES registry for Addiction Wellness Center in LLC is (667) 367-8357.
- Does Addiction Wellness Center in LLC accept Medicare?
- Addiction Wellness Center in 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 Addiction Wellness Center in LLC?
- The authorized official listed on Addiction Wellness Center in LLC's NPPES record is Jessie Costley, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Addiction Wellness Center in LLC's NPI active?
- Yes — Addiction Wellness Center in LLC's NPI (1720703382) is active in the NPPES registry as of the last update on 2025-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.