LIFESPANN PRIMARY CARE & ESTHETICS
NPI 1720757032
Nurse Practitioner - Family in Gilbert, AZ

Active since September 09, 2021
2451 E BASELINE RD STE 310, GILBERT, AZ 85234(480) 351-7151(480) 499-0891 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 6, 2022, Nov 8, 2021, Sep 9, 2021 (3 updates tracked since 2021).

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 lists Jennifer Valencia Spann, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1720757032
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLIFESPANN ENHANCED SKIN & BODY CARE, PLLC
Location Address2451 E BASELINE RD STE 310Gilbert, AZ 85234-2465
Mailing Address2451 E Baseline Rd Ste 310Gilbert, AZ 85234-2465 · (480) 351-7151
Fax(480) 499-0891
Organization SubpartNo
Authorized OfficialJennifer Valencia SpannOwner/manager · (480) 351-7151
Enumeration DateSeptember 9, 2021
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1720757032 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
2451 E BASELINE RD STE 310, Gilbert, AZ 85234

Other Names 1

Doing Business AsLifespann Primary Care & Esthetics

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

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

2

Medicare 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)

Nurse Practitioner
NPI 1609431824
2451 E BASELINE RD STE 310
Gilbert, AZ 85234
(480) 351-7151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336642115
7975 N HAYDEN RD
Scottsdale, AZ 85258
(480) 268-2670
✔ PECOS✔ Accepts Medicare14 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 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.

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.