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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.

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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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-14. Verify at npiregistry.cms.hhs.gov.
Where is Bewellness, LLC located?
The practice location on file with NPPES is in Fort Collins, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-14.