BASE VITALITY PLLC
NPI 1114727237
Clinic/Center in Kalispell, MT

Active since March 17, 2025
103 PONDEROSA LN, KALISPELL, MT 59901(406) 220-5058 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Feb 2, 2026, Mar 17, 2025 (3 updates tracked since 2025).

About Base Vitality Pllc NPPES

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

BASE VITALITY PLLC (NPI 1114727237) is a healthcare organization registered as a clinic/center in Kalispell, Montana and active in the NPI registry since March 2025. The organization lists Andrea L Emde, Dr., as its authorized official.

NPPES Registry Identity

NPI1114727237
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBASE VITALITY PLLC
Location Address103 PONDEROSA LNKalispell, MT 59901-6833
Mailing Address103 Ponderosa LnKalispell, MT 59901-6833 · (406) 220-5058
Organization SubpartNo
Authorized OfficialAndrea L EmdeDr. · (406) 220-5058
Enumeration DateMarch 17, 2025
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1114727237 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 ListedChiropractorTaxonomy 111N00000X
103 PONDEROSA LN, Kalispell, MT 59901

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)

Base Vitality Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Base Vitality PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1124538962
103 PONDEROSA LN
Kalispell, MT 59901
(360) 941-5672
✔ Accepts MedicareSame address

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 Base Vitality PLLC's NPI number?

The NPI number for Base Vitality PLLC is 1114727237. It was assigned to this organization in the NPPES registry on March 17, 2025.

Where is Base Vitality PLLC located?

Base Vitality PLLC is located at 103 Ponderosa Ln, Kalispell, MT 59901. The listed phone number is (406) 220-5058.

What is Base Vitality PLLC's specialty?

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

Is Base Vitality PLLC enrolled in Medicare?

Yes. Base Vitality PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Base Vitality PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Base Vitality PLLC. 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 Base Vitality PLLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.