LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC. — NPI 1265760078 (Licensed & Credentialed Midwife in SHELL LAKE, WI)

CMS-1500 Box 24J / 33a • NPI

1265760078

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

176B00000X

Licensed & Credentialed Midwife

Box 32 Service Location & ZIP+4

32 5TH AVE., SHELL LAKE, WI, 54871-0514

✓ 9-Digit EDI 837 ZIP+4 (54871-0514)

Practice Phone & Referral Fax

(715) 338-3499

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265760078 (LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265760078` (NPI-2 Organization / Facility)
Provider / Legal Name	LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC.
Plain-English Specialty	Licensed & Credentialed Midwife NUCC Code: `176B00000X` (Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	32 5TH AVE., SHELL LAKE, WI, 54871-0514
Practice Telephone / Fax	Tel: (715) 338-3499
Administrative Mailing Address	PO BOX 514, SHELL LAKE, WI, 54871-0514
Enumeration & Last Sync	Enumerated: 2009-12-07 \| CMS Record Updated: 2009-12-07
Authorized Official	JESSICA DEFILIPPO (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

32 5TH AVE., SHELL LAKE, WI, 54871-0514

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Plain-English Taxonomy & CMS Crosswalk (176B00000X)

What Does Taxonomy Code 176B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 176B00000X translates to:
"Licensed & Credentialed Midwife"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`176B00000X` — Midwife Plain English: Licensed & Credentialed Midwife	State: WI \| License: `25-049` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC. (NPI #1265760078)