DRLULLABY LLC
NPI 1003520149
Clinic/Center in Union Grove, WI

Active since January 12, 2023
4380 67TH DR # 1033, UNION GROVE, WI 53182(844) 475-3379(855) 644-2985 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2023, Jan 27, 2023, Jan 12, 2023 (3 updates tracked since 2023).

About Drlullaby Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRLULLABY LLC (NPI 1003520149) is a healthcare organization registered as a clinic/center in Union Grove, Wisconsin and active in the NPI registry since January 2023. The organization lists Lisa Ann Medalie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003520149
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDRLULLABY LLC
Location Address4380 67TH DR # 1033Union Grove, WI 53182-9338
Mailing Address1440 W Taylor St # 556Chicago, IL 60607-4623 · (844) 475-3379 · Fax (855) 644-2985
Fax(855) 644-2985
Organization SubpartYes
Authorized OfficialLisa Ann MedalieCeo · (619) 997-5759
Enumeration DateJanuary 12, 2023
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1003520149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
4380 67TH DR # 1033, Union Grove, WI 53182

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drlullaby Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Drlullaby LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Psychologist Billing Independently
NPI 1609175744
1101 DAVIS ST
Evanston, IL 60201
(773) 702-6169
✔ PECOS✔ Accepts Medicare47 mi
Clinical Psychologist
NPI 1922378710
8545 MANSION HILL AVE APT 5
Madison, WI 53719
(608) 216-6116
✔ PECOS80 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Drlullaby LLC's NPI number?

The NPI number for Drlullaby LLC is 1003520149. It was assigned to this organization in the NPPES registry on January 12, 2023.

Where is Drlullaby LLC located?

Drlullaby LLC is located at 4380 67th Dr # 1033, Union Grove, WI 53182. The listed phone number is (844) 475-3379.

What is Drlullaby LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Drlullaby LLC enrolled in Medicare?

Yes. Drlullaby LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Drlullaby LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Drlullaby LLC, in Clinical Psychologist and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Drlullaby LLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.