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BLUELIFE MEDICAL, INC
NPI 1205706751
Family Medicine - Physician Nutrition Specialist in Naples, FL

Active since November 10, 2025
4850 TAMIAMI TRL N, SUITE 301, NAPLES, FL 34103(239) 778-6958 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bluelife Medical, Inc NPPES

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

BLUELIFE MEDICAL, INC (NPI 1205706751) is a healthcare organization registered as a physician nutrition specialist in Naples, Florida and active in the NPI registry since November 2025. The organization lists Jonathan L Corpus, Owner, as its authorized official.

NPPES Registry Identity

NPI1205706751
Entity TypeOrganization
Primary Taxonomy207QP0002X
Legal Business NameBLUELIFE MEDICAL, INC
Location Address4850 TAMIAMI TRL N, SUITE 301Naples, FL 34103-3029
Mailing Address4850 Tamiami Trl N, Suite 301Naples, FL 34103-3029 · (239) 778-6958
Phone(239) 778-6958
Organization SubpartNo
Authorized OfficialJonathan L CorpusOwner · (701) 818-7630
Enumeration DateNovember 10, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1205706751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Physician Nutrition SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207QP0002X
Definition
A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.
4850 TAMIAMI TRL N, Naples, FL 34103
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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)

Bluelife Medical, Inc 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 Bluelife Medical, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gianina Corpus, MD
Family Practice
NPI 1679987812
25 MICHIGAN ST NE SUITE 5100
Grand Rapids, MI 49503
(616) 267-0800
✔ PECOS✔ Accepts Medicare1,176 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 Bluelife Medical, Inc's NPI number?

The NPI number for Bluelife Medical, Inc is 1205706751. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Bluelife Medical, Inc located?

Bluelife Medical, Inc is located at 4850 Tamiami Trl N Suite 301, Naples, FL 34103. The listed phone number is (239) 778-6958.

What is Bluelife Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Physician Nutrition Specialist, with taxonomy code 207QP0002X.

Is Bluelife Medical, Inc enrolled in Medicare?

Yes. Bluelife Medical, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluelife Medical, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bluelife Medical, Inc. 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 Bluelife Medical, Inc was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.