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LIFETREE MEDICAL SERVICES, LLC
NPI 1487178331
Nurse Practitioner in Danville, WV

Active since August 02, 2017
462 KENMORE DR, DANVILLE, WV 25053(304) 369-0986 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2022, Mar 17, 2018, Nov 8, 2017 and 1 more (4 updates tracked since 2017).

About Lifetree Medical Services, Llc NPPES

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

LIFETREE MEDICAL SERVICES, LLC (NPI 1487178331) is a healthcare organization registered as a nurse practitioner in Danville, West Virginia and active in the NPI registry since August 2017. The organization maintains 18 additional practice locations and lists Todd R Jones, President, as its authorized official.

NPPES Registry Identity

NPI1487178331
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLIFETREE MEDICAL SERVICES, LLC
Location Address462 KENMORE DRDanville, WV 25053-7133
Mailing AddressPo Box 280Cabin Creek, WV 25035-0280 · (304) 556-1060 · Fax (304) 556-1061
Phone(304) 369-0986
Organization SubpartNo
Authorized OfficialTodd R JonesPresident · (304) 344-1623
Enumeration DateAugust 2, 2017
Last NPPES UpdateMarch 15, 20224 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
✔ NPI 1487178331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal MedicineTaxonomy 207R00000X
462 KENMORE DR, Danville, WV 25053
Open in Google Maps ↗

Secondary Practice Locations 18

Location 1198 John Cook Nursing Home RdHinton, WV 25951-5074 · Phone (304) 466-0332
Location 26999 Route 152Wayne, WV 25570-8285 · Phone (304) 697-7007
Location 3411 Erbacon RdCowen, WV 26206-8526 · Phone (304) 226-5301
Location 4236 Warrior WayNew Richmond, WV 24867 · Phone (304) 294-7586
Location 5640 Sandhill RdPoint Pleasant, WV 25550-2163 · Phone (304) 675-5236
Location 62096 Davisson Run RdClarksburg, WV 26301-7361 · Phone (304) 624-6500
Location 72 Hospital PlzGrafton, WV 26354-1283 · Phone (304) 265-0008
Location 830 Hidden Brook WayCulloden, WV 25510-9190 · Phone (304) 390-5709 · Fax (304) 743-1994
Location 9859 Days DrSutton, WV 26601-6255 · Phone (304) 765-2861
Location 101053 Clinic DrIvydale, WV 25113-8266 · Phone (304) 286-4204
Location 11100 Hresan BlvdFayetteville, WV 25840-1333 · Phone (304) 574-0770
Location 121115 Maplewood AveLewisburg, WV 24901-9728 · Phone (304) 645-3076
Location 1318086 State Route 55Baker, WV 26801 · Phone (304) 897-5903
Location 141081 Maplewood DrBridgeport, WV 26330-9848 · Phone (304) 842-4135
Location 15200 Monday DrHamlin, WV 25523-1033 · Phone (304) 824-3133
Location 1620 Wilson DriveCameron, WV 26033 · Phone (304) 636-3318
Location 17150 Venus DrGary, WV 24836 · Phone (304) 448-2121
Location 181275 Southview DrBluefield, WV 24701-4347 · Phone (304) 325-5448

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 Highmark Blue Cross Blue Shield West Virginia.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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Lifetree Medical Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Vickie Powell, FNP-BC
Nurse Practitioner
NPI 1669721601
462 KENMORE DR
Danville, WV 25053
(304) 369-0966
✔ PECOS✔ Accepts MedicareSame address
Tamera Ball, FNP-C
Nurse Practitioner
NPI 1912556507
150 VENUS DRIVE
Gary, WV 24836
(304) 448-2121
✔ PECOS✔ Accepts Medicare52 mi
Cami Maxwell, FNP-C
Nurse Practitioner
NPI 1801330915
198 JOHN COOK NURSING HOME RD
Hinton, WV 25951
(304) 466-0332
✔ PECOS✔ Accepts Medicare65 mi
Angel Johnson, NP
Nurse Practitioner
NPI 1811373632
859 DAYS DR
Sutton, WV 26601
(304) 765-2861
✔ PECOS✔ Accepts Medicare77 mi
Kendall Lambert, APRN, FNP-BC
Nurse Practitioner
NPI 1891370607
1081 MAPLEWOOD DR
Bridgeport, WV 26330
(304) 842-4135
✔ PECOS✔ Accepts Medicare121 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 Lifetree Medical Services, LLC's NPI number?

The NPI number for Lifetree Medical Services, LLC is 1487178331. It was assigned to this organization in the NPPES registry on August 2, 2017.

Where is Lifetree Medical Services, LLC located?

Lifetree Medical Services, LLC is located at 462 Kenmore Dr, Danville, WV 25053. The listed phone number is (304) 369-0986.

What is Lifetree Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lifetree Medical Services, LLC enrolled in Medicare?

Yes. Lifetree Medical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetree Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lifetree Medical Services, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifetree Medical Services, LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Lifetree Medical Services, LLC 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 Lifetree Medical Services, LLC was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.