LIVINGWELL PLLC
NPI 1952105967
Nurse Practitioner - Family in Fayetteville, AR
About Livingwell Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVINGWELL PLLC (NPI 1952105967) is a healthcare organization registered as a family in Fayetteville, Arkansas and active in the NPI registry since April 2025. The organization lists Kyndel Brecheisen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Livingwell Pllc 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 Livingwell PLLC, 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.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by JC from Fayetteville May 11, 2026
5/5Frequently 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 Livingwell PLLC's NPI number?
The NPI number for Livingwell PLLC is 1952105967. It was assigned to this organization in the NPPES registry on April 1, 2025.
Where is Livingwell PLLC located?
Livingwell PLLC is located at 4220 N Crossover Rd, Fayetteville, AR 72703. The listed phone number is (479) 200-4808.
What is Livingwell PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Livingwell PLLC enrolled in Medicare?
Yes. Livingwell PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Livingwell PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Livingwell 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Livingwell PLLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Livingwell Pllc · NPI 1952105967
Family organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since April 1, 2025.
## Identity
- **NPI:** 1952105967 (Entity type: Organization)
- **Enumerated:** April 1, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kyndel Brecheisen, OWNER
## Practice location
- **Address:** 4220 N CROSSOVER RD, Fayetteville, AR 72703-4593
- **Phone:** (479) 200-4808 · **Fax:** (479) 505-0297
## 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:** April 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952105967) · Data from the CMS NPPES public registry.