Prodigy Health and Wellness PLLC
NPI 1740061886 · Primary Care Nurse Practitioner · Raleigh, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prodigy Health and Wellness PLLC is a Primary Care Nurse Practitioner organization in Raleigh, NC (NPI 1740061886).
Provider details
- NPI number
- 1740061886
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lisa Blevins, Nurse Practitioner(919) 793-6483
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
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
Other names (DBA / former)
- Doing business as
- Prodigy Health & Wellness PLLC
Registry dates
- Enumerated
- 2023-10-12
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Frequently asked questions
- What is Prodigy Health and Wellness PLLC's NPI number?
- Prodigy Health and Wellness PLLC's National Provider Identifier (NPI) is 1740061886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prodigy Health and Wellness PLLC?
- Prodigy Health and Wellness PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prodigy Health and Wellness PLLC located?
- Prodigy Health and Wellness PLLC's practice location on file with NPPES is 4000 Wake Forest Rd, Raleigh, NC 27609-6879.
- What is Prodigy Health and Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prodigy Health and Wellness PLLC is (919) 793-6483.
- Does Prodigy Health and Wellness PLLC accept Medicare?
- Prodigy Health and Wellness PLLC 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 Prodigy Health and Wellness PLLC?
- The authorized official listed on Prodigy Health and Wellness PLLC's NPPES record is Lisa Blevins, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prodigy Health and Wellness PLLC's NPI active?
- Yes — Prodigy Health and Wellness PLLC's NPI (1740061886) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.