LAKESHORE MEDICAL CLINIC, LLC
NPI 1003861188
Family Medicine in Saint Francis, WI
About Lakeshore Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESHORE MEDICAL CLINIC, LLC (NPI 1003861188) is a healthcare organization registered as a family medicine in Saint Francis, Wisconsin and active in the NPI registry since May 2006. The organization lists Kara Richardson, Assistant Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeshore Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
961Medicare enrollment records show 961 clinicians reassign Medicare billing to Lakeshore Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 90 practice at this address and 532 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 44
Nearest to this location (20)
See all 961Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lakeshore Medical Clinic, LLC's NPI number?
The NPI number for Lakeshore Medical Clinic, LLC is 1003861188. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is Lakeshore Medical Clinic, LLC located?
Lakeshore Medical Clinic, LLC is located at 2000 E Layton Ave Ste 100, Saint Francis, WI 53235. The listed phone number is (414) 744-6589.
What is Lakeshore Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lakeshore Medical Clinic, LLC enrolled in Medicare?
Yes. Lakeshore Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeshore Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 961 clinicians in 44 Medicare specialties reassign their Medicare billing to Lakeshore Medical Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (250), Diagnostic Radiology (154) and Family Practice (141). Of these, 90 practice at this address and 532 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeshore Medical Clinic, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Lakeshore Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lakeshore Medical Clinic, LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lakeshore Medical Clinic, Llc · NPI 1003861188
Family Medicine organization in Saint Francis, Wisconsin. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1003861188 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kara Richardson, ASSISTANT TREASURER
## Practice location
- **Address:** 2000 E LAYTON AVE STE 100, Saint Francis, WI 53235-6054
- **Phone:** (414) 744-6589
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 961 clinicians in 44 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (250), Diagnostic Radiology (154), Family Practice (141); 90 practice at this address and 532 within 10 miles; [full list](https://npiprofile.com/npi/1003861188/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2025
- **Other identifiers:** Medicaid 32797200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1003861188) · Data from the CMS NPPES public registry.