Wellness360 Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLNESS360 PRIMARY CARE

Practice address

1700 SE Hillmoor Dr Ste 305
Port Saint Lucie, FL 34952-7536

Phone

(772) 292-8188

NPI assigned

Apr 1, 2024

Last updated

Apr 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yohanna Deno, MDNPI 1700050275

Title

Owner

Phone

(764) 670-2685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yohanna Deno, MD

  • Internal Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1700050275
  Medicare reassignment NPD Authorized official
• Massiel Morales, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1942823067
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1154172773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 305",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 305",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527536",
            "telephone_number": "772-292-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS360 PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "DENO",
        "authorized_official_first_name": "YOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "764-670-2685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laverne Webber
• Margaret Wegelewski
• Well Being Endo
• Wellcare Advocates LLC
• Wellness and Rehab Specialists LLC
• Wellstart Medical, LLC
• Alise Renee Wenner, DO
• Wesley Home Estate Assisted Living Facility
• Wesley Home Estate Assisted Living Facility, LLC
• West Palm Beach Vamc

• Internal Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.