Ageless Living Institute LLC
NPI 1770160269 · Medical Physician Assistant · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ageless Living Institute LLC is a Medical Physician Assistant organization in Prescott, AZ (NPI 1770160269).
Provider details
- NPI number
- 1770160269
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mark Kledzik, Member(928) 255-5191
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
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
5 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
- 2021-03-29
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Frequently asked questions
- What is Ageless Living Institute LLC's NPI number?
- Ageless Living Institute LLC's National Provider Identifier (NPI) is 1770160269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ageless Living Institute LLC?
- Ageless Living Institute LLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ageless Living Institute LLC located?
- Ageless Living Institute LLC's practice location on file with NPPES is 1670 Willow Creek Rd Ste a, Prescott, AZ 86301-1112.
- What is Ageless Living Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Ageless Living Institute LLC is (928) 255-5191.
- Does Ageless Living Institute LLC accept Medicare?
- Ageless Living Institute 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 Ageless Living Institute LLC?
- The authorized official listed on Ageless Living Institute LLC's NPPES record is Mark Kledzik, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ageless Living Institute LLC's NPI active?
- Yes — Ageless Living Institute LLC's NPI (1770160269) is active in the NPPES registry as of the last update on 2023-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.