LIFE HEALTH AND WELLNESS HEALTH CARE
NPI 1821349895
Nurse Practitioner - Family in Phoenix, AZ
About Life Health And Wellness Health Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE HEALTH AND WELLNESS HEALTH CARE (NPI 1821349895) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since October 2012. The organization lists Beverly Thomas-carter, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Life Health And Wellness Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Health And Wellness Health Care, 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.
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 Life Health And Wellness Health Care's NPI number?
The NPI number for Life Health And Wellness Health Care is 1821349895. It was assigned to this organization in the NPPES registry on October 1, 2012.
Where is Life Health And Wellness Health Care located?
Life Health And Wellness Health Care is located at 5040 N 15th Ave Ste 105, Phoenix, AZ 85015. The listed phone number is (888) 958-5736.
What is Life Health And Wellness Health Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Life Health And Wellness Health Care enrolled in Medicare?
Yes. Life Health And Wellness Health Care is registered in the Medicare PECOS enrollment system.
When is Life Health And Wellness Health Care's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Life Health And Wellness Health Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Life Health And Wellness Health Care. 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.
What insurance does Life Health And Wellness Health Care accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Life Health And Wellness Health Care 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 Life Health And Wellness Health Care was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Life Health And Wellness Health Care · NPI 1821349895
Family organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since October 1, 2012.
## Identity
- **NPI:** 1821349895 (Entity type: Organization)
- **Enumerated:** October 1, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Beverly Thomas-Carter, PRESIDENT
## Practice location
- **Address:** 5040 N 15TH AVE STE 105, Phoenix, AZ 85015-3329
- **Phone:** (888) 958-5736 · **Fax:** (888) 958-5737
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821349895) · Data from the CMS NPPES public registry.