Living Well Medical, LLC
NPI 1508630856 · Primary Care Nurse Practitioner · Brookings, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Living Well Medical, LLC is a Primary Care Nurse Practitioner organization in Brookings, OR (NPI 1508630856).
Provider details
- NPI number
- 1508630856
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stacy Kreger, Np/Owner(541) 813-1505
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Frequently asked questions
- What is Living Well Medical, LLC's NPI number?
- Living Well Medical, LLC's National Provider Identifier (NPI) is 1508630856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Well Medical, LLC?
- Living Well Medical, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Living Well Medical, LLC located?
- Living Well Medical, LLC's practice location on file with NPPES is 524 Spruce St Ste 5, Brookings, OR 97415-0407.
- What is Living Well Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Living Well Medical, LLC is (541) 813-1505.
- Does Living Well Medical, LLC accept Medicare?
- Living Well Medical, 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 Living Well Medical, LLC?
- The authorized official listed on Living Well Medical, LLC's NPPES record is Stacy Kreger, Np/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Well Medical, LLC's NPI active?
- Yes — Living Well Medical, LLC's NPI (1508630856) is active in the NPPES registry as of the last update on 2024-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.