Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFELINE CONNECTIONS MEDICAL SERVICES
NPI 1245819887
Clinic/Center - Primary Care in Vancouver, WA

Active since April 02, 2021
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 397-8246(360) 397-8449 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 1, 2023, Apr 2, 2021 (2 updates tracked since 2021).

About Lifeline Connections Medical Services NPPES

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

LIFELINE CONNECTIONS MEDICAL SERVICES (NPI 1245819887) is a healthcare organization registered as a primary care in Vancouver, Washington and active in the NPI registry since April 2021. The organization lists Andrea Brooks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245819887
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFELINE CONNECTIONS MEDICAL SERVICES
Location Address1601 E FOURTH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing AddressPo Box 1678Vancouver, WA 98668-1678
Fax(360) 397-8449
Organization SubpartYesParent: Lifeline Connections
Authorized OfficialAndrea BrooksCeo · (360) 946-5751
Enumeration DateApril 2, 2021
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1245819887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1601 E FOURTH PLAIN BLVD BLDG 17, Vancouver, WA 98661

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifeline Connections Medical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Lifeline Connections Medical Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Clinical Social Worker2
Family Practice1
Marriage and Family Therapist1

Clinicians, nearest first (10)

Marriage and Family Therapist
NPI 1285067397
1601 E 4TH PLAIN BLVD STE A152
Vancouver, WA 98661
(564) 397-7686
✔ PECOSSame address
Clinical Social Worker
NPI 1356897904
1601 E FOURTH PLAIN BLVD BLDG 17 STE A212
Vancouver, WA 98661
(360) 397-8246
✔ PECOSSame address
Clinical Social Worker
NPI 1679094668
1601 E 4TH PLAIN BLVD BLDG 17
Vancouver, WA 98661
(360) 397-8246
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1710575410
9916 NE HIGHWAY 99
Vancouver, WA 98686
(360) 954-4522
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1144699224
11719 NE 95TH ST STE D
Vancouver, WA 98682
(360) 984-5511
✔ PECOS6.3 mi
Family Practice
NPI 1992966311
11719 NE 95TH ST STE AD
Vancouver, WA 98682
(360) 397-8246
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1477321644
101 ELLIOTT AVE W STE 500
Seattle, WA 98119
(425) 678-6463
✔ PECOS✔ Accepts Medicare138 mi
Nurse Practitioner
NPI 1952644965
3955 156TH ST NE
Marysville, WA 98271
(206) 669-3472
✔ PECOS✔ Accepts Medicare174 mi
Nurse Practitioner
NPI 1669434031
4120 MERIDIAN ST STE 220
Bellingham, WA 98226
(360) 922-3030
✔ PECOS✔ Accepts Medicare218 mi
Nurse Practitioner
NPI 1164994000
7969 ASHTON AVE
Manassas, VA 20109
(703) 840-4705
✔ PECOS✔ Accepts Medicare2,332 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 Lifeline Connections Medical Services's NPI number?

The NPI number for Lifeline Connections Medical Services is 1245819887. It was assigned to this organization in the NPPES registry on April 2, 2021.

Where is Lifeline Connections Medical Services located?

Lifeline Connections Medical Services is located at 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Lifeline Connections Medical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lifeline Connections Medical Services enrolled in Medicare?

Yes. Lifeline Connections Medical Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifeline Connections Medical Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifeline Connections Medical Services. 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. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (2) and Family Practice (1). Of these, 2 practice at this address and 6 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 Lifeline Connections Medical Services was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.