LIFESPANN PRIMARY CARE & ESTHETICS
NPI 1720757032
Nurse Practitioner - Family in Gilbert, AZ
About Lifespann Primary Care & Esthetics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESPANN PRIMARY CARE & ESTHETICS (NPI 1720757032) is a healthcare organization registered as a family in Gilbert, Arizona and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Jennifer Valencia Spann, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Lifespann Primary Care & Esthetics 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 Lifespann Primary Care & Esthetics, which bills Medicare for the services they deliver. Of these, 1 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.
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 03D2241458
Lifespann Primary Care & Esthetics · Gilbert, AZFrequently 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 Lifespann Enhanced Skin & Body Care, PLLC's NPI number?
The NPI number for Lifespann Enhanced Skin & Body Care, PLLC is 1720757032. It was assigned to this organization in the NPPES registry on September 9, 2021. The provider is doing business as Lifespann Primary Care & Esthetics.
Where is Lifespann Enhanced Skin & Body Care, PLLC located?
Lifespann Enhanced Skin & Body Care, PLLC is located at 2451 E Baseline Rd Ste 310, Gilbert, AZ 85234. The listed phone number is (480) 351-7151.
What is Lifespann Enhanced Skin & Body Care, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lifespann Enhanced Skin & Body Care, PLLC enrolled in Medicare?
Yes. Lifespann Enhanced Skin & Body Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifespann Enhanced Skin & Body Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lifespann Enhanced Skin & Body Care, PLLC. 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.
Does Lifespann Enhanced Skin & Body Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2241458) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lifespann Enhanced Skin & Body Care, PLLC accept?
Health plans from Imperial Insurance Companies, Inc. list Lifespann Enhanced Skin & Body Care, PLLC 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 Lifespann Enhanced Skin & Body Care, PLLC was last updated on July 6, 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.
# Lifespann Primary Care & Esthetics · NPI 1720757032
Family organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since September 9, 2021.
## Identity
- **NPI:** 1720757032 (Entity type: Organization)
- **Enumerated:** September 9, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Lifespann Enhanced Skin & Body Care, Pllc
- **Organization subpart:** No
- **Authorized official:** Jennifer Spann, OWNER/MANAGER
## Practice location
- **Address:** 2451 E BASELINE RD STE 310, Gilbert, AZ 85234-2465
- **Phone:** (480) 351-7151 · **Fax:** (480) 499-0891
## 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 at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720757032) · Data from the CMS NPPES public registry.