LIFELINE MEDICAL CENTER
NPI 1265160451
Family Medicine in Anderson, IN

Active since August 15, 2022CLIA Certified · 2 labs
2101 JACKSON ST STE 109, ANDERSON, IN 46016(814) 408-0014 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, Jul 12, 2024, Aug 15, 2022 (3 updates tracked since 2022).

About Lifeline Medical Center NPPES

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

LIFELINE MEDICAL CENTER (NPI 1265160451) is a healthcare organization registered as a family medicine in Anderson, Indiana and active in the NPI registry since August 2022. The organization holds 2 active CLIA laboratory certificates, maintains 26 additional practice locations, and lists Patricia Griesheimer, Coo, as its authorized official.

NPPES Registry Identity

NPI1265160451
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFELINE MEDICAL CENTER
Location Address2101 JACKSON ST STE 109Anderson, IN 46016-4386
Mailing Address3159 Carpenters Park RdDavidsville, PA 15928-9223 · (814) 408-0014 · Fax (814) 479-5906
Organization SubpartNo
Authorized OfficialPatricia GriesheimerCoo · (814) 243-0414
Enumeration DateAugust 15, 2022
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1265160451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2101 JACKSON ST STE 109, Anderson, IN 46016

Secondary Practice Locations 26

Location 11201 Pacific Ave Ste 6Tacoma, WA 98402-4393 · Phone (814) 408-0014
Location 235200 Dequindre RdSterling Heights, MI 48310-4837 · Phone (814) 408-0014
Location 323077 Greenfield Rd Ste 455Southfield, MI 48075-3740 · Phone (814) 408-0014
Location 41415 W 22nd StOak Brook, IL 60523-2074 · Phone (814) 408-0014
Location 56565 Americas Pkwy NE Ste 200Albuquerque, NM 87110-8172 · Phone (814) 408-0014
Location 63415 S Sepulveda Blvd Ste 1100Los Angeles, CA 90034-7090 · Phone (814) 408-0014
Location 71915 NE Stucki Ave Ste 400Hillsboro, OR 97006-6938 · Phone (814) 408-0014
Location 8701 NE 136th Ave Ste 200Vancouver, WA 98684-6937 · Phone (814) 408-0014
Location 92900 Westfork Dr Ste 401Baton Rouge, LA 70827-0004 · Phone (814) 408-0014
Location 1010121 SE Sunnyside RdClackamas, OR 97015-5745 · Phone (814) 409-0014
Location 113707 E Southern Ave Ste 1025Mesa, AZ 85206-6202 · Phone (814) 408-0014
Location 1241 University Dr Ste 400Newtown, PA 18940-1873 · Phone (814) 408-0014
Location 1313509 Lyndon B Johnson Fwy Ste 200Garland, TX 75041-4704 · Phone (814) 408-0014
Location 142245 Texas Dr Ste 300Sugar Land, TX 77479-1468 · Phone (814) 408-0014
Location 152000 Town Ctr Ste 1900Southfield, MI 48075-1152 · Phone (814) 408-0014 · Fax (814) 479-5906
Location 161500 NW Bethany Blvd Ste 200Beaverton, OR 97006-5236 · Phone (814) 408-0014 · Fax (503) 914-6422
Location 172180 Satellite Blvd Ste 400Duluth, GA 30097-4927 · Phone (814) 408-0014
Location 188875 Hidden River Pkwy Ste 300Tampa, FL 33637-2087 · Phone (814) 408-0014
Location 193597 E Monarch Sky Ln Ste 240Meridian, ID 83646-1055 · Phone (814) 408-0014
Location 202101 Jackson StAnderson, IN 46016-4388 · Phone (814) 408-0014
Location 21500 Galleria DrJohnstown, PA 15904-8906 · Phone (814) 408-0014
Location 22321 Main StJohnstown, PA 15901-1632 · Phone (814) 408-0014
Location 232855 Charlestown Rd Ste 300New Albany, IN 47150-2691 · Phone (814) 408-0014
Location 243159 Carpenters Park RdDavidsville, PA 15928-9223 · Phone (814) 408-0014
Location 251925 NE Stucki AveHillsboro, OR 97006-6945 · Phone (814) 408-0014
Location 26698 12th St SE Ste 240-5Salem, OR 97301-4039 · Phone (814) 408-0014

Other Identifiers 1

Medicaid99999999999OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Clinicians Billing Medicare Through This Organization

81

Medicare enrollment records show 81 clinicians reassign Medicare billing to Lifeline Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner41
Clinical Social Worker18
Mental Health Counselor16
Family Practice5
Allergy/Immunology1

Nearest to this location (20)

See all 81
Clinical Social Worker
NPI 1487617130
2519 RUNNING STREAM CT
Anderson, IN 46011
(702) 237-8063
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1033804471
2010 BRENTWOOD DR
Anderson, IN 46011
(765) 393-0063
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Social Worker
NPI 1881367282
1200 S TILLOTSON OPAS
Muncie, IN 47304
(765) 288-1790
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1215025481
2401 W UNIVERSITY AVE
Muncie, IN 47303
(765) 288-1928
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1336376110
1904 W ROYALE DR
Muncie, IN 47304
(765) 284-0043
✔ PECOS17 mi
Clinical Social Worker
NPI 1831644319
421 S WALNUT ST STE 200
Muncie, IN 47305
(765) 288-1790
✔ PECOS17 mi
Clinical Social Worker
NPI 1124761101
3437 MORGAN TRL
Jeffersonville, IN 47130
(502) 876-0014
✔ PECOS✔ Accepts Medicare121 mi
Mental Health Counselor
NPI 1760216758
2855 CHARLESTOWN RD STE 300
New Albany, IN 47150
(814) 408-0014
✔ PECOS122 mi
Nurse Practitioner
NPI 1770211658
2855 CHARLESTOWN RD
New Albany, IN 47150
(502) 265-5866
✔ PECOS✔ Accepts Medicare122 mi
Clinical Social Worker
NPI 1700750098
2855 CHARLESTOWN RD STE 300
New Albany, IN 47150
(814) 408-0014
✔ PECOS122 mi
Clinical Social Worker
NPI 1952112112
2855 CHARLESTOWN RD STE 300
New Albany, IN 47150
(814) 408-0014
✔ PECOS✔ Accepts Medicare122 mi
Nurse Practitioner
NPI 1467100875
3211 GRANT LINE RD STE 15
New Albany, IN 47150
(812) 221-1186
✔ PECOS✔ Accepts Medicare122 mi
Nurse Practitioner
NPI 1588376396
3211 GRANT LINE RD STE 15
New Albany, IN 47150
(812) 221-1186
✔ PECOS✔ Accepts Medicare122 mi
Nurse Practitioner
NPI 1932819067
1431 OPUS PL STE 110
Downers Grove, IL 60515
(888) 279-0002
✔ PECOS✔ Accepts Medicare171 mi
Family Practice
NPI 1245840560
2825 LIVERNOIS RD
Troy, MI 48083
(248) 680-6000
✔ PECOS✔ Accepts Medicare215 mi
Family Practice
NPI 1326250754
35200 DEQUINDRE RD STE 600
Sterling Heights, MI 48310
(248) 786-8800
✔ PECOS✔ Accepts Medicare217 mi
Allergy/Immunology
NPI 1619979333
1265 WAYNE AVE STE 307
Indiana, PA 15701
(724) 349-3290
✔ PECOS✔ Accepts Medicare346 mi
Family Practice
NPI 1992700504
1013 MENOHER BLVD
Johnstown, PA 15905
(814) 254-4885
✔ PECOS✔ Accepts Medicare357 mi
Mental Health Counselor
NPI 1013426253
119 WALNUT ST
Johnstown, PA 15901
(814) 534-0745
✔ PECOS358 mi
Mental Health Counselor
NPI 1710534193
1415 EISENHOWER BLVD
Johnstown, PA 15904
(814) 408-0014
✔ PECOS✔ Accepts Medicare362 mi
See all 81 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2335856

Lifeline Medical Center · New Albany, IN
Active · expires Dec 17, 2027
CLIA Number15D2335856
Laboratory TypeClinic
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorNatalie Stone
Laboratory Phone(502) 265-5866
Laboratory LocationLifeline Medical Center2855 Charlestown Rd, New Albany, IN 47150
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2345335

Lifeline Medical, LLC · Johnstown, PA
Active · expires Jun 8, 2028
CLIA Number39D2345335
Laboratory TypeClinic
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorDr. James E. Mckendree Jr
Laboratory Phone(814) 408-0014
Laboratory LocationLifeline Medical, LLC1415 Eisenhower Blvd, Johnstown, PA 15904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Center's NPI number?

The NPI number for Lifeline Medical Center is 1265160451. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Lifeline Medical Center located?

Lifeline Medical Center is located at 2101 Jackson St Ste 109, Anderson, IN 46016. The listed phone number is (814) 408-0014.

What is Lifeline Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lifeline Medical Center enrolled in Medicare?

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

How many clinicians bill Medicare through Lifeline Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 5 Medicare specialties reassign their Medicare billing to Lifeline Medical Center. 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 (41), Clinical Social Worker (18) and Mental Health Counselor (16). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifeline Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lifeline Medical Center accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Lifeline Medical Center 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 Medical Center was last updated on November 6, 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.