Nautilus Mental Health PLLC
Organization Active NPI Community/Behavioral Health Agency · Wilmington, NC
NPI 1194607283 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1194607283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NAUTILUS MENTAL HEALTH PLLC
- Practice address
- 4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423 - Phone
- (910) 621-1710
- Fax
- (910) 834-0563
- NPI assigned
- Jul 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Amanda Mitchell, DNP
- Title
- Owner/NP
- Phone
- (910) 621-1710
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251008004470 | NC | Part B Supplier - Clinic/Group Practice | 4880191428 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilmington, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423
Mailing address
4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423
Phone (910) 621-1710
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All providers in Wilmington, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.