New Life Wellness LLC
NPI 1508463639 · Addiction Medicine (Preventive Medicine) Physician · Hermiston, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
New Life Wellness LLC is a Addiction Medicine (Preventive Medicine) Physician organization in Hermiston, OR (NPI 1508463639).
Provider details
- NPI number
- 1508463639
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Kelly, Physician Assistant, Owner(206) 418-8222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (10)
- 2900 Nw Clearwater DrBend, OR 97703-9410Phone: (541) 303-3558Fax: (509) 593-4644
- 520 Nw 4th StCorvallis, OR 97330-6411Phone: (541) 303-3558Fax: (509) 593-4644
- 761 Main StDallas, OR 97338-3108Phone: (541) 303-3558Fax: (509) 593-4644
- 1901 Garden Ave Ste 210Eugene, OR 97403-4301Phone: (541) 303-3558Fax: (509) 593-4644
- 71 Centennial Loop Ste aEugene, OR 97401-2443Phone: (541) 303-3558Fax: (509) 593-4644
- 1345 Nw 15th StLincoln City, OR 97367-3327Phone: (541) 303-3558Fax: (509) 593-4644
- 1110 Se Alder St Ste 301Portland, OR 97214-2400Phone: (541) 303-3558Fax: (509) 593-4644
- 4909 S Coast Hwy Ste 1kSouth Beach, OR 97366-9667Phone: (541) 303-3558
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Frequently asked questions
- What is New Life Wellness LLC's NPI number?
- New Life Wellness LLC's National Provider Identifier (NPI) is 1508463639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Life Wellness LLC?
- New Life Wellness LLC is classified in the NPPES registry as Addiction Medicine (Preventive Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is New Life Wellness LLC located?
- New Life Wellness LLC's practice location on file with NPPES is 256 E Hurlburt Ave Ste 117, Hermiston, OR 97838-2443.
- What is New Life Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for New Life Wellness LLC is (541) 303-3558.
- Does New Life Wellness LLC accept Medicare?
- New Life Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for New Life Wellness LLC?
- The authorized official listed on New Life Wellness LLC's NPPES record is Randall Kelly, Physician Assistant, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Life Wellness LLC's NPI active?
- Yes — New Life Wellness LLC's NPI (1508463639) is active in the NPPES registry as of the last update on 2026-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.