Primelife Health and Wellness

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

PRIMELIFE HEALTH AND WELLNESS

Doing business as

PrimeLife

Practice address

888 Thackeray TRL Ste 103
Oconomowoc, WI 53066-4342

Phone

(866) 329-4264

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric M Elliot, DMSC, PA-CNPI 1508825605

Title

Vice President

Phone

(262) 330-0062

Specialties & licenses 2

Addresses

Other names 1

• PrimeLife Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric M Elliot, DMSC, PA-C

  • Physician Assistant
  • Oconomowoc, WI
  • NPI 1508825605
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1265230601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 GENESEE ST # 180620",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530189998",
            "telephone_number": "262-330-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 THACKERAY TRL STE 103",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664342",
            "telephone_number": "866-329-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMELIFE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-330-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMSC, PA-C"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeLife",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Mitchell Powell, DC
• Prader Willi Homes of Oconomowoc LLC (Prader Willi Homes of Oconomowoc)
• Presbyterian Homes of Wisconsin, Inc. (Presbyterian Homes and Services Rehabilitation)
• Prescription Center Pharmacy
• Randy J Prestash, OD
• Procare Plus, LLC
• Prohealth Care
• Prohealth Care Waukesha Health Systems
• Prohealth Medical Group Inc
• Prohealth Medical Group Inc

• Integrative Medicine Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Integrative Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.