VITALITY MEDICAL, LLC
NPI 1942891205
General Practice in Billings, MT
About Vitality Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY MEDICAL, LLC (NPI 1942891205), doing business as Vitality Medical, is a healthcare organization registered as a general practice in Billings, Montana and active in the NPI registry since January 2021. The organization holds a CLIA Microscopy certificate valid through July 7, 2028 and lists Melissa Lynn Fuller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Vitality Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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 Vitality Medical, LLC, 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 for Provider-Performed Microscopy Procedures (PPMP) 27D2307379
Vitality Medical LLC · Billings, MTFrequently 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 Vitality Medical, LLC's NPI number?
The NPI number for Vitality Medical, LLC is 1942891205. It was assigned to this organization in the NPPES registry on January 29, 2021. The provider was formerly known as Vitality Medical.
Where is Vitality Medical, LLC located?
Vitality Medical, LLC is located at 2060 Overland Ave Ste 1A, Billings, MT 59102. The listed phone number is (406) 855-2422.
What is Vitality Medical, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Vitality Medical, LLC enrolled in Medicare?
Yes. Vitality Medical, LLC is registered in the Medicare PECOS enrollment system.
When is Vitality Medical, LLC'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 (Montana, Clinic/Group Practice) is due for revalidation by October 31, 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 Vitality Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitality Medical, LLC. 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 Vitality Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 27D2307379) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vitality Medical, LLC accept?
Health plans from Blue Cross and Blue Shield of Montana list Vitality 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 Vitality Medical, LLC was last updated on July 24, 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.
# Vitality Medical, Llc · NPI 1942891205
General Practice organization in Billings, Montana. Organization record, active in the CMS NPPES registry since January 29, 2021.
## Identity
- **NPI:** 1942891205 (Entity type: Organization)
- **Enumerated:** January 29, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Melissa Fuller, OWNER
## Practice location
- **Address:** 2060 OVERLAND AVE STE 1A, Billings, MT 59102-6439
- **Phone:** (406) 855-2422 · **Fax:** (406) 204-5595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Montana, 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:** July 24, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942891205) · Data from the CMS NPPES public registry.