LONGEVITY ACCOUNTABLE CARE, PA
NPI 1144078965
Family Medicine in Chicago, IL
About Longevity Accountable Care, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY ACCOUNTABLE CARE, PA (NPI 1144078965) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since May 2024. The organization lists Diane Vincur, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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)
Longevity Accountable Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Longevity Accountable Care, PA, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (20)
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 Longevity Accountable Care, PA's NPI number?
The NPI number for Longevity Accountable Care, PA is 1144078965. It was assigned to this organization in the NPPES registry on May 7, 2024.
Where is Longevity Accountable Care, PA located?
Longevity Accountable Care, PA is located at 6300 N California Ave, Chicago, IL 60659. The listed phone number is (773) 973-1900.
What is Longevity Accountable Care, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Longevity Accountable Care, PA enrolled in Medicare?
Yes. Longevity Accountable Care, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Accountable Care, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Accountable Care, 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. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Longevity Accountable Care, PA was last updated on May 7, 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.
# Longevity Accountable Care, Pa · NPI 1144078965
Family Medicine organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since May 7, 2024.
## Identity
- **NPI:** 1144078965 (Entity type: Organization)
- **Enumerated:** May 7, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Longevity Accountable Care, Pa)
- **Authorized official:** Diane Vincur, PRACTICE MANAGER
## Practice location
- **Address:** 6300 N CALIFORNIA AVE, Chicago, IL 60659-1702
- **Phone:** (773) 973-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144078965) · Data from the CMS NPPES public registry.