LIFESTYLE FAMILY MEDICINE LLC
NPI 1356119812
Nurse Practitioner - Family in Chandler, AZ
About Lifestyle Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESTYLE FAMILY MEDICINE LLC (NPI 1356119812) is a healthcare organization registered as a family in Chandler, Arizona and active in the NPI registry since December 2023. The organization lists James Copley, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lifestyle Family Medicine Llc 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 Lifestyle Family Medicine LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lifestyle Family Medicine LLC's NPI number?
The NPI number for Lifestyle Family Medicine LLC is 1356119812. It was assigned to this organization in the NPPES registry on December 14, 2023.
Where is Lifestyle Family Medicine LLC located?
Lifestyle Family Medicine LLC is located at 5505 W Chandler Blvd Ste 9, Chandler, AZ 85226. The listed phone number is (480) 207-1867.
What is Lifestyle Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lifestyle Family Medicine LLC enrolled in Medicare?
Yes. Lifestyle Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifestyle Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lifestyle Family Medicine LLC. 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 Lifestyle Family Medicine LLC was last updated on May 21, 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.
# Lifestyle Family Medicine Llc · NPI 1356119812
Family organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since December 14, 2023.
## Identity
- **NPI:** 1356119812 (Entity type: Organization)
- **Enumerated:** December 14, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** James Copley, MEMBER
## Practice location
- **Address:** 5505 W CHANDLER BLVD STE 9, Chandler, AZ 85226-3683
- **Phone:** (480) 207-1867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356119812) · Data from the CMS NPPES public registry.