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LIFESPAN WELLNESS PLLC
NPI 1366819310
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since August 25, 2015
1404 N MAIN ST, SUITE 101, MERIDIAN, ID 83642(208) 888-6264(208) 906-2363 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifespan Wellness Pllc NPPES

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

LIFESPAN WELLNESS PLLC (NPI 1366819310) is a healthcare organization registered as a psychiatric/mental health in Meridian, Idaho and active in the NPI registry since August 2015. The organization lists Rebekah Danielle Nation, Owner/psychiatric Np, as its authorized official.

NPPES Registry Identity

NPI1366819310
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIFESPAN WELLNESS PLLC
Location Address1404 N MAIN ST, SUITE 101Meridian, ID 83642-2799
Mailing Address1404 N Main St, Suite 101Meridian, ID 83642-2799 · (208) 888-6264 · Fax (208) 906-2363
Phone(208) 888-6264
Fax(208) 906-2363
Organization SubpartNo
Authorized OfficialRebekah Danielle NationOwner/psychiatric Np · (770) 324-7635
Enumeration DateAugust 25, 2015
Last NPPES UpdateFebruary 24, 2016
✔ NPI 1366819310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · NP-1536A
1404 N MAIN ST, Meridian, ID 83642
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Lifespan Wellness Pllc 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 Lifespan Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rebekah Nation, APRN, PMHNP-BC
Nurse Practitioner
NPI 1134497464
3597 E MONARCH SKY LN STE 240
Meridian, ID 83646
(208) 888-6264
✔ PECOS✔ Accepts Medicare2.1 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 Lifespan Wellness PLLC's NPI number?

The NPI number for Lifespan Wellness PLLC is 1366819310. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Lifespan Wellness PLLC located?

Lifespan Wellness PLLC is located at 1404 N Main St Suite 101, Meridian, ID 83642. The listed phone number is (208) 888-6264.

What is Lifespan Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lifespan Wellness PLLC enrolled in Medicare?

Yes. Lifespan Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespan Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lifespan Wellness PLLC. 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.

What insurance does Lifespan Wellness PLLC accept?

Health plans from Moda Health Plan, Inc. list Lifespan Wellness PLLC 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 Lifespan Wellness PLLC was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.