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LIFETIME WELLNESS CHIROPRACTIC PLLC
NPI 1962734889
Chiropractor in Shelley, ID

Active since February 03, 2010
528 N. STATE ST, SHELLEY, ID 83274(208) 357-0333(208) 357-2299 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifetime Wellness Chiropractic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME WELLNESS CHIROPRACTIC PLLC (NPI 1962734889) is a healthcare organization registered as a chiropractor in Shelley, Idaho and active in the NPI registry since February 2010. The organization lists Brennan T Williams, Member, as its authorized official.

NPPES Registry Identity

NPI1962734889
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFETIME WELLNESS CHIROPRACTIC PLLC
Location Address528 N. STATE STShelley, ID 83274-1154
Mailing Address528 N. State StShelley, ID 83274-1154 · (208) 357-0333 · Fax (208) 357-2299
Phone(208) 357-0333
Fax(208) 357-2299
Organization SubpartNo
Authorized OfficialBrennan T WilliamsMember · (208) 552-5555
Enumeration DateFebruary 3, 2010
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1962734889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1397
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
528 N. STATE ST, Shelley, ID 83274
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Other Identifiers 1

Medicaid1962734889ID

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

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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)

Lifetime Wellness Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifetime Wellness Chiropractic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kade Keck, DC
Chiropractic
NPI 1346838232
528 N STATE ST
Shelley, ID 83274
(208) 357-0333
✔ Accepts MedicareSame address
Brennan Williams, D.C.
Chiropractic
NPI 1811228521
528 N STATE ST
Shelley, ID 83274
(208) 357-0333
✔ Accepts MedicareSame address
Jordan Keck, DC
Chiropractic
NPI 1871950998
528 N STATE ST
Shelley, ID 83274
(208) 357-0333
✔ Accepts MedicareSame address

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 Lifetime Wellness Chiropractic PLLC's NPI number?

The NPI number for Lifetime Wellness Chiropractic PLLC is 1962734889. It was assigned to this organization in the NPPES registry on February 3, 2010.

Where is Lifetime Wellness Chiropractic PLLC located?

Lifetime Wellness Chiropractic PLLC is located at 528 N. State St, Shelley, ID 83274. The listed phone number is (208) 357-0333.

What is Lifetime Wellness Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lifetime Wellness Chiropractic PLLC enrolled in Medicare?

Yes. Lifetime Wellness Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Wellness Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Lifetime Wellness Chiropractic 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifetime Wellness Chiropractic PLLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Lifetime Wellness Chiropractic 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 Lifetime Wellness Chiropractic PLLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.