LIFEWAY HEALTH & WELLNESS LLC
NPI 1598443723
Clinic/Center - Primary Care in Maple Grove, MN
About Lifeway Health & Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFEWAY HEALTH & WELLNESS LLC (NPI 1598443723) is a healthcare organization registered as a primary care in Maple Grove, Minnesota and active in the NPI registry since July 2023. The organization lists Stacy Woodard, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lifeway Health & Wellness Llc 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 Lifeway Health & Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 Lifeway Health & Wellness LLC's NPI number?
The NPI number for Lifeway Health & Wellness LLC is 1598443723. It was assigned to this organization in the NPPES registry on July 7, 2023.
Where is Lifeway Health & Wellness LLC located?
Lifeway Health & Wellness LLC is located at 6469 Sycamore Ct N, Maple Grove, MN 55369. The listed phone number is (763) 276-9443.
What is Lifeway Health & Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lifeway Health & Wellness LLC enrolled in Medicare?
Yes. Lifeway Health & Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifeway Health & Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lifeway Health & 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lifeway Health & Wellness LLC accept?
Health plans from Medica list Lifeway Health & 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 Lifeway Health & Wellness LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lifeway Health & Wellness Llc · NPI 1598443723
Primary Care organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since July 7, 2023.
## Identity
- **NPI:** 1598443723 (Entity type: Organization)
- **Enumerated:** July 7, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Stacy Woodard, CEO
## Practice location
- **Address:** 6469 SYCAMORE CT N, Maple Grove, MN 55369-6028
- **Phone:** (763) 276-9443 · **Fax:** (888) 440-6946
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1598443723) · Data from the CMS NPPES public registry.