LIFELINE CONNECTIONS MEDICAL SERVICES
NPI 1245819887
Clinic/Center - Primary Care in Vancouver, WA
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 Kinh Reynolds, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
10Medicare 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
Clinicians, nearest first (10)
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 11719 NE 95th St Ste D, Vancouver, WA 98682. 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.
What insurance does Lifeline Connections Medical Services accept?
Health plans from Providence Health Plan list Lifeline Connections Medical Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lifeline Connections Medical Services was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lifeline Connections Medical Services · NPI 1245819887
Primary Care organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1245819887 (Entity type: Organization)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Lifeline Connections)
- **Authorized official:** Kinh Reynolds, CFO
## Practice location
- **Address:** 11719 NE 95TH ST STE D, Vancouver, WA 98682-2444
- **Phone:** (360) 397-8246 · **Fax:** (360) 397-8449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (2), Family Practice (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245819887) · Data from the CMS NPPES public registry.