Bewellness, LLC
Bewellness, LLC is a healthcare organization registered as Family Nurse Practitioner in Fort Collins, CO, holding Type 2 (organization) NPI 1356137905 since 2025. The authorized official on file is Jennifer Keller Deraad, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356137905 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bewellness, LLC |
| Practice address | 1315 OAKRIDGE DR STE 100, Fort Collins, CO, 80525 |
| Phone | 9708291129 |
| Fax | 9496558678 |
| Enumeration date | 2025-04-18 |
| Last updated in NPPES | 2025-05-14 |
Authorized official
| Name | Jennifer Keller Deraad |
|---|---|
| Title | Ceo |
| Phone | 9708291129 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063793289 | Medicaid | OH | — |
Copy-ready billing details
Provider: Bewellness, LLC NPI: 1356137905 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 1315 OAKRIDGE DR STE 100, Fort Collins, CO, 80525
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043082266 | Leigh Reineke Therapy, LLC | Organization | Clinical Social Worker | Fort Collins, CO |
| 1851256812 | Melissa Joy LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Fort Collins, CO |
Verify this record
Cross-check NPI 1356137905 against the authoritative CMS record: view Bewellness, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Bewellness, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-14.