Lifeline Interventional Therapeutics, PLLC
NPI 1912726811 · Psychiatry Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifeline Interventional Therapeutics, PLLC is a Psychiatry Physician organization in Grand Rapids, MI (NPI 1912726811).
Provider details
- NPI number
- 1912726811
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Vanlonkhuyzen, Partner/Physician Assistant(616) 400-5433
Specialties & taxonomies
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
1 yr 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
- 2024-10-08
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Frequently asked questions
- What is Lifeline Interventional Therapeutics, PLLC's NPI number?
- Lifeline Interventional Therapeutics, PLLC's National Provider Identifier (NPI) is 1912726811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifeline Interventional Therapeutics, PLLC?
- Lifeline Interventional Therapeutics, PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Lifeline Interventional Therapeutics, PLLC located?
- Lifeline Interventional Therapeutics, PLLC's practice location on file with NPPES is 1179 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-3682.
- What is Lifeline Interventional Therapeutics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lifeline Interventional Therapeutics, PLLC is (616) 400-5433.
- Does Lifeline Interventional Therapeutics, PLLC accept Medicare?
- Lifeline Interventional Therapeutics, PLLC 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 Lifeline Interventional Therapeutics, PLLC?
- The authorized official listed on Lifeline Interventional Therapeutics, PLLC's NPPES record is William Vanlonkhuyzen, Partner/Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifeline Interventional Therapeutics, PLLC's NPI active?
- Yes — Lifeline Interventional Therapeutics, PLLC's NPI (1912726811) is active in the NPPES registry as of the last update on 2024-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.