Renew Serenity Mental Health & Wellness LLC · Nurse Practitioner

11 Municipal Drive, Suite 200, Fishers, IN 46038

Overview

Renew Serenity Mental Health & Wellness LLC is a Nurse Practitioner (organization) practicing in Fishers, Indiana. The National Provider Identifier (NPI) is #1518850940, which was assigned on June 3, 2025, and the registration record was last updated on January 14, 2026. The practitioner's main practice location is at 11 Municipal Drive, Suite 200, Fishers, IN 46038; the contact telephone number is 3177219035, and the fax number is 3179346467. The primary taxonomy of Renew Serenity Mental Health & Wellness LLC is Nurse Practitioner (363L00000X). The authorized official for Renew Serenity Mental Health & Wellness LLC is Elizabeth Rush (Ceo/Nurse Practitioner).

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Information

NPI 1518850940
Entity Type Organization
Organization Name RENEW SERENITY MENTAL HEALTH & WELLNESS LLC
Provider Name RENEW SERENITY MENTAL HEALTH & WELLNESS LLC
Practice Address 11 Municipal Drive
Suite 200
Fishers
IN 46038
Practice Telephone 3177219035
Practice Fax Number 3179346467
Mailing Address 9783 E 116th St Ste 336
Fishers
IN 46037-2822
Mailing Telephone 3177219035
Mailing Fax Number 3179346467
Certification Date 2026-01-14
Enumeration Date 2025-06-03
Last Update Date 2026-01-14
Is Organization Subpart N

Authorized Official Information

Official Name ELIZABETH RUSH
Official Title CEO/NURSE PRACTITIONER
Credential NP
Telephone 3177219035

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363L00000XNurse Practitioner193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Location Information

Street Address 11 MUNICIPAL DRIVE
SUITE 200
City FISHERS
State IN
Zip Code 46038
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Vernon Earl Billups Jr. 11 Municipal Drive Ste 200, Fishers, IN 46038-1634Marriage & Family Therapist2021-04-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jadyn Leichty 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-02-03
Aba Grateful Care In 11807 Allisonville Rd #522, Fishers, IN 46038Behavioral Analyst2022-01-09
Destony Newsome 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-01-19
Valeigh Newsom 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-02-16
Kendra Jones 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-03-16
Alicia Mathews 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-02-09
Haylie Davis 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-01-27
Rona A. Abu Manneh 8500 E 116th St Unit 575, Fishers, IN 46038-0369Internal Medicine Physician2008-03-30
Brooke Kirkpatrick 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-03-02
Chaniya Rush 11902 Lakeside Dr, Fishers, IN 46038-1308Behavior Technician2026-01-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.