LIFESPAN PSYCHIATRY AND WELLNESS LIMITED LIABILITY LIMITED PARTNERSHIP
NPI 1427840313
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, MN
About Lifespan Psychiatry And Wellness Limited Liability Limited Partnership NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESPAN PSYCHIATRY AND WELLNESS LIMITED LIABILITY LIMITED PARTNERSHIP (NPI 1427840313) is a healthcare organization registered as a psychiatric/mental health in Bloomington, Minnesota and active in the NPI registry since May 2025. The organization lists Fadumo I Omar, Co-owner/partner, 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)
Lifespan Psychiatry And Wellness Limited Liability Limited Partnership is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lifespan Psychiatry And Wellness Limited Liability Limited Partnership, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Psychiatry And Wellness Limited Liability Limited Partnership's NPI number?
The NPI number for Lifespan Psychiatry And Wellness Limited Liability Limited Partnership is 1427840313. It was assigned to this organization in the NPPES registry on May 19, 2025.
Where is Lifespan Psychiatry And Wellness Limited Liability Limited Partnership located?
Lifespan Psychiatry And Wellness Limited Liability Limited Partnership is located at 3800 American Blvd W Ste 1500, Bloomington, MN 55431. The listed phone number is (206) 250-7034.
What is Lifespan Psychiatry And Wellness Limited Liability Limited Partnership's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lifespan Psychiatry And Wellness Limited Liability Limited Partnership enrolled in Medicare?
Yes. Lifespan Psychiatry And Wellness Limited Liability Limited Partnership is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifespan Psychiatry And Wellness Limited Liability Limited Partnership?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lifespan Psychiatry And Wellness Limited Liability Limited Partnership. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lifespan Psychiatry And Wellness Limited Liability Limited Partnership was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lifespan Psychiatry And Wellness Limited Liability Limited Partnership · NPI 1427840313
Psychiatric/Mental Health organization in Bloomington, Minnesota. Organization record, active in the CMS NPPES registry since May 19, 2025.
## Identity
- **NPI:** 1427840313 (Entity type: Organization)
- **Enumerated:** May 19, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Fadumo Omar, CO-OWNER/PARTNER
## Practice location
- **Address:** 3800 AMERICAN BLVD W STE 1500, Bloomington, MN 55431-4429
- **Phone:** (206) 250-7034
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1427840313) · Data from the CMS NPPES public registry.