LIVEWELL FAMILY MEDICINE
NPI 1740017318
Clinic/Center - Primary Care in Murfreesboro, TN
About Livewell Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVEWELL FAMILY MEDICINE (NPI 1740017318) is a healthcare organization registered as a primary care in Murfreesboro, Tennessee and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Emma Mercedes Shupp, Owner, 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)
Livewell Family Medicine 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 Livewell Family Medicine, 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.
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 44D2313650
Livewell Family Medicine · Murfreesboro, TNFrequently 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 Livewell Family Medicine's NPI number?
The NPI number for Livewell Family Medicine is 1740017318. It was assigned to this organization in the NPPES registry on September 17, 2024.
Where is Livewell Family Medicine located?
Livewell Family Medicine is located at 1630 NW Broad St Ste 100, Murfreesboro, TN 37129. The listed phone number is (615) 431-8431.
What is Livewell Family Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Livewell Family Medicine enrolled in Medicare?
Yes. Livewell Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Livewell Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Livewell Family Medicine. 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.
Does Livewell Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2313650) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Livewell Family Medicine accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Livewell Family Medicine 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 Livewell Family Medicine was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Livewell Family Medicine · NPI 1740017318
Primary Care organization in Murfreesboro, Tennessee. Organization record, active in the CMS NPPES registry since September 17, 2024.
## Identity
- **NPI:** 1740017318 (Entity type: Organization)
- **Enumerated:** September 17, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Emma Shupp, OWNER
## Practice location
- **Address:** 1630 NW BROAD ST STE 100, Murfreesboro, TN 37129-4435
- **Phone:** (615) 431-8431 · **Fax:** (615) 431-8531
## 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:** September 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740017318) · Data from the CMS NPPES public registry.