LIFESTYLE CHIROPRACTIC AND WELLNESS, PA
NPI 1376104901
Chiropractor in Mendota Heights, MN
About Lifestyle Chiropractic And Wellness, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESTYLE CHIROPRACTIC AND WELLNESS, PA (NPI 1376104901) is a healthcare organization registered as a chiropractor in Mendota Heights, Minnesota and active in the NPI registry since June 2019. The organization lists Andrew David Newman, Owner/president, 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 Chiropractic And Wellness, Pa 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 Chiropractic And Wellness, PA, 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 Chiropractic And Wellness, PA's NPI number?
The NPI number for Lifestyle Chiropractic And Wellness, PA is 1376104901. It was assigned to this organization in the NPPES registry on June 25, 2019.
Where is Lifestyle Chiropractic And Wellness, PA located?
Lifestyle Chiropractic And Wellness, PA is located at 750 S Plaza Dr Ste 104, Mendota Heights, MN 55120. The listed phone number is (612) 710-8798.
What is Lifestyle Chiropractic And Wellness, PA's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Lifestyle Chiropractic And Wellness, PA enrolled in Medicare?
Yes. Lifestyle Chiropractic And Wellness, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifestyle Chiropractic And Wellness, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lifestyle Chiropractic And Wellness, PA. 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 Chiropractic And Wellness, PA was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 Chiropractic And Wellness, Pa · NPI 1376104901
Chiropractor organization in Mendota Heights, Minnesota. Organization record, active in the CMS NPPES registry since June 25, 2019.
## Identity
- **NPI:** 1376104901 (Entity type: Organization)
- **Enumerated:** June 25, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Andrew Newman, OWNER/PRESIDENT
## Practice location
- **Address:** 750 S PLAZA DR STE 104, Mendota Heights, MN 55120-1505
- **Phone:** (612) 710-8798
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376104901) · Data from the CMS NPPES public registry.