New Eden Wellness Center LLC
NPI 1538895636ActiveOrganization· Clinic/Center, Multi-Specialty· Kissimmee, FL
Clinic/Center, Multi-Specialty in Kissimmee, Florida, registered in NPPES in July 2022. The authorized official on file is Gardine Jacques, DNP,ANP-BC,PMHNP-BC,, Nurse Practitioner.
Overview
| NPI | 1538895636 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2022 |
| Last updated in NPPES | Apr 16, 2024 |
| Certified by provider | Apr 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center, Multi-Specialty providers in Kissimmee
- 1033595475
- 1083813752
- 1285040519
- 1497938344
- 1538944301
- 1548748478
- 1568136760
- 1811490287
- 1841084399
- 1861203796
- 1871161125
- 1942879143