INTEGRATIVE MEDICAL AND WELLNESS, LLC
NPI 1578195053
Family Medicine in Hartland, WI
About Integrative Medical And Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATIVE MEDICAL AND WELLNESS, LLC (NPI 1578195053) is a healthcare organization registered as a family medicine in Hartland, Wisconsin and active in the NPI registry since February 2020. The organization lists Jonathan Lo, Owner, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Integrative Medical And Wellness, 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 Integrative Medical And Wellness, 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 Integrative Medical And Wellness, LLC's NPI number?
The NPI number for Integrative Medical And Wellness, LLC is 1578195053. It was assigned to this organization in the NPPES registry on February 12, 2020.
Where is Integrative Medical And Wellness, LLC located?
Integrative Medical And Wellness, LLC is located at 520 Hartbrook Dr Ste H, Hartland, WI 53029. The listed phone number is (262) 369-7900.
What is Integrative Medical And Wellness, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Integrative Medical And Wellness, LLC enrolled in Medicare?
Yes. Integrative Medical And Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrative Medical And Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrative Medical And Wellness, 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.
What insurance does Integrative Medical And Wellness, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Integrative Medical And Wellness, 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 Integrative Medical And Wellness, LLC was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Integrative Medical And Wellness, Llc · NPI 1578195053
Family Medicine organization in Hartland, Wisconsin. Organization record, active in the CMS NPPES registry since February 12, 2020.
## Identity
- **NPI:** 1578195053 (Entity type: Organization)
- **Enumerated:** February 12, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jonathan Lo, OWNER, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 520 HARTBROOK DR STE H, Hartland, WI 53029-1405
- **Phone:** (262) 369-7900
## 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:** February 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1578195053) · Data from the CMS NPPES public registry.