✓ Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies (332B00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

LIFESTYLE MEDICAL GROUP (NPI #1427465459)

Durable Medical Equipment & Medical Supplies • CALEDONIA, MN • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1427465459
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332B00000X (CMS 54)
Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies
Box 32 Service Location & ZIP+4
405 S HIGHWAY 44 76, CALEDONIA, MN, 55921-1861
✓ 9-Digit EDI 837 ZIP+4 (55921-1861)
Practice Phone & Referral Fax
Fax: (651) 305-1846
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1427465459 (LIFESTYLE MEDICAL GROUP) 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 Number1427465459 (NPI-2 Organization / Facility)
Provider / Legal NameLIFESTYLE MEDICAL GROUP
Plain-English SpecialtyLicensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies
NUCC Code: 332B00000X (Durable Medical Equipment & Medical Supplies)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address405 S HIGHWAY 44 76, CALEDONIA, MN, 55921-1861
Practice Telephone / FaxTel: (507) 725-8883 | Fax: (651) 305-1846
Administrative Mailing Address405 S HIGHWAY 44 76, CALEDONIA, MN, 55921-1861
Enumeration & Last SyncEnumerated: 2014-07-22 | CMS Record Updated: 2014-07-22
Authorized OfficialMELISSA HANSON (Office Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

405 S HIGHWAY 44 76, CALEDONIA, MN, 55921-1861

🗺️ Open in Google Maps 🏥 More Providers in CALEDONIA

Plain-English Taxonomy & CMS Crosswalk (332B00000X)

What Does Taxonomy Code 332B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332B00000X translates to:
"Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 54 (Other Medical Supply Company) • CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code 87[3] (All Other Suppliers) • CMS Code A2[9] (Intermediate Care Nursing Facility) • CMS Code A6 (Medical Supply Company with Respiratory Therapist) • CMS Code A7 (Department Store) • CMS Code A8 (Grocery Store) • CMS Code B3 (Medical supply company with pedorthic personnel)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Durable Medical Equipment & Medical Supplies for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LIFESTYLE MEDICAL GROUP)

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 DescriptionState License & Primary Status
261QP2000X — Clinic/Center, Physical Therapy
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Secondary
332B00000X — Durable Medical Equipment & Medical Supplies
Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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