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LUXE LIFE MEDICAL LLC
NPI 1720684673
Nurse Practitioner - Family in Valparaiso, IN

Active since December 07, 2020CLIA 15D2221828 · Waiver
606 LINCOLNWAY, VALPARAISO, IN 46383(219) 247-4003 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Apr 24, 2021, Dec 7, 2020 (3 updates tracked since 2020).

About Luxe Life Medical Llc NPPES

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

LUXE LIFE MEDICAL LLC (NPI 1720684673) is a healthcare organization registered as a family in Valparaiso, Indiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Elizabeth Victoria Moerman, Owner/fnp, as its authorized official.

NPPES Registry Identity

NPI1720684673
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLUXE LIFE MEDICAL LLC
Location Address606 LINCOLNWAYValparaiso, IN 46383-5728
Mailing Address606 LincolnwayValparaiso, IN 46383-5728 · (219) 247-4003
Phone(219) 247-4003
Organization SubpartNo
Authorized OfficialElizabeth Victoria MoermanOwner/fnp · (219) 247-4003
Enumeration DateDecember 7, 2020
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2022
✔ NPI 1720684673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
606 LINCOLNWAY, Valparaiso, IN 46383
Open in Google Maps ↗

Other Identifiers 2

Medicaid300032267IN
OtherIN4530IN · In Medicare

Group Practice 1

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2221828

Luxe Life Medical, LLC · Valparaiso, IN
Active · expires Apr 25, 2027
CLIA Number15D2221828
Laboratory TypeIndependent
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorElizabeth Moerman
Laboratory Phone(219) 247-4003
Laboratory LocationLuxe Life Medical, LLC606 Lincolnway Suite B, Valparaiso, IN 46383
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH VICTORIA MOERMAN FNP
Nurse Practitioner
606 LINCOLNWAY
VALPARAISO, IN 46383
Porter County (219) 247-4003
TRC - INDIANA, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
606 LINCOLNWAY
VALPARAISO, IN 46383
Porter County (219) 531-1299
DR. NICOLE MARIE BAUTISTA M.D.
Internal Medicine (Nephrology)
606 LINCOLNWAY
VALPARAISO, IN 46383
Porter County (219) 462-6001

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 Luxe Life Medical LLC's NPI number?

The NPI number for Luxe Life Medical LLC is 1720684673. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Luxe Life Medical LLC located?

Luxe Life Medical LLC is located at 606 Lincolnway, Valparaiso, IN 46383. The listed phone number is (219) 247-4003.

What is Luxe Life Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Luxe Life Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2221828) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Luxe Life Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Luxe Life Medical 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 Luxe Life Medical LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.