LIFE RAFT PSYCHIATRY LLC
NPI 1124855606
Nurse Practitioner - Psychiatric/Mental Health in Altoona, PA

Active since September 18, 2024
311 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602(814) 243-5365 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Raft Psychiatry Llc NPPES

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

LIFE RAFT PSYCHIATRY LLC (NPI 1124855606) is a healthcare organization registered as a psychiatric/mental health in Altoona, Pennsylvania and active in the NPI registry since September 2024. The organization maintains a secondary practice location in St Benedict and lists Margaret Shaffer, Owner, as its authorized official.

NPPES Registry Identity

NPI1124855606
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIFE RAFT PSYCHIATRY LLC
Location Address311 E PLEASANT VALLEY BLVDAltoona, PA 16602-5512
Mailing Address311 E Pleasant Valley BlvdAltoona, PA 16602-5512
Organization SubpartNo
Authorized OfficialMargaret ShafferOwner · (814) 243-5365
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1124855606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
311 E PLEASANT VALLEY BLVD, Altoona, PA 16602

Secondary Practice Location 1

Location 1276 Jackman RdSt Benedict, PA 15773-7724 · Phone (814) 243-5365

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Life Raft Psychiatry 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 Life Raft Psychiatry LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1114256138
1062 PENNSYLVANIA AVE
Tyrone, PA 16686
(814) 996-6329
✔ PECOS13 mi
Nurse Practitioner
NPI 1770874125
276 JACKMAN RD
Saint Benedict, PA 15773
(814) 458-1155
✔ PECOS20 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 Life Raft Psychiatry LLC's NPI number?

The NPI number for Life Raft Psychiatry LLC is 1124855606. It was assigned to this organization in the NPPES registry on September 18, 2024.

Where is Life Raft Psychiatry LLC located?

Life Raft Psychiatry LLC is located at 311 E Pleasant Valley Blvd, Altoona, PA 16602. The listed phone number is (814) 243-5365.

What is Life Raft Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Life Raft Psychiatry LLC enrolled in Medicare?

Yes. Life Raft Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Raft Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Life Raft Psychiatry LLC. 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 Life Raft Psychiatry LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.