Bellaluna Lil Light Llc/Dba Mountain Grit Wellness LLC
NPI 1336959667ActiveOrganization· Clinic/Center· Mayhill, NM
Clinic/Center in Mayhill, New Mexico, registered in NPPES in January 2025, part of Bellaluna Lil Light LLC/ DBA Mountain Grit Wellness LLC. The authorized official on file is Sharlene E. Rogers, CNP, Owner/Manager/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336959667 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bellaluna Lil Light LLC/ DBA Mountain Grit Wellness LLC |
| NPI issued | Jan 9, 2025 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Registered Nurse, Infusion Therapy | 163WI0500X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
Other Clinic/Center providers in Mayhill
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