LIFEWELL MEDICAL PA
NPI 1134066756
General Practice in Port Saint Joe, FL
About Lifewell Medical Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFEWELL MEDICAL PA (NPI 1134066756) is a healthcare organization registered as a general practice in Port Saint Joe, Florida and active in the NPI registry since May 2026. The organization lists Yitzchak Goldsmith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifewell Medical Pa 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 Lifewell Medical PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lifewell Medical PA's NPI number?
The NPI number for Lifewell Medical PA is 1134066756. It was assigned to this organization in the NPPES registry on May 1, 2026.
Where is Lifewell Medical PA located?
Lifewell Medical PA is located at 220 9th St, Port Saint Joe, FL 32456. The listed phone number is (845) 360-2552.
What is Lifewell Medical PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Lifewell Medical PA enrolled in Medicare?
Yes. Lifewell Medical PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifewell Medical PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Lifewell Medical PA. 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 Lifewell Medical PA was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lifewell Medical Pa · NPI 1134066756
General Practice organization in Port Saint Joe, Florida. Organization record, active in the CMS NPPES registry since May 1, 2026.
## Identity
- **NPI:** 1134066756 (Entity type: Organization)
- **Enumerated:** May 1, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Yitzchak Goldsmith, PRESIDENT
## Practice location
- **Address:** 220 9TH ST, Port Saint Joe, FL 32456-1924
- **Phone:** (845) 360-2552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134066756) · Data from the CMS NPPES public registry.