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LAKE HOSPITAL SYSTEM INC.
NPI 1043275837
Nurse Practitioner - Adult Health in Concord Twp, OH

Active since April 18, 2006
7590 AUBURN RD, CONCORD TWP, OH 44077(440) 375-8152(440) 354-1245 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Hospital System Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE HOSPITAL SYSTEM INC. (NPI 1043275837) is a healthcare organization registered as an adult health in Concord Twp, Ohio and active in the NPI registry since April 2006. The organization lists Robert Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043275837
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameLAKE HOSPITAL SYSTEM INC.
Location Address7590 AUBURN RDConcord Twp, OH 44077-9176
Mailing AddressPo Box 781348Detroit, MI 48278 · (800) 354-1985 · Fax (440) 354-4938
Phone(440) 375-8152
Fax(440) 354-1245
Organization SubpartNo
Authorized OfficialRobert TraczCfo · (440) 354-1051
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1043275837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
7590 AUBURN RD, Concord Twp, OH 44077
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Hospital System Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Lake Hospital System Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 120 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115
Family Practice51
Internal Medicine20
Obstetrics/Gynecology16
Neurology12
General Surgery10
Pediatric Medicine10
Cardiovascular Disease (Cardiology)7
21 other specialties43

Nearest to this location (20)

See all 284
Karen Alston, CNP
Nurse Practitioner
NPI 1881164986
7590 AUBURN RD
Concord Twp, OH 44077
(440) 375-8100
✔ PECOS✔ Accepts MedicareSame address
Susan Perdue Schultz, CNP
Nurse Practitioner
NPI 1508256975
7590 AUBURN RD
Concord Twp, OH 44077
(440) 375-8100
✔ PECOS✔ Accepts MedicareSame address
Daniel Hofius, DO
Family Practice
NPI 1356301311
7580 AUBURN ROAD SUITE 202
Concord Twp, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Daniel Modarelli, DO
Family Practice
NPI 1033179791
7580 AUBURN ROAD SUITE 202
Concord Twp, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Sonja Peckham, CNP
Nurse Practitioner
NPI 1114201522
7580 AUBURN RD SUITE 207
Concord Twp, OH 44077
(440) 354-1802
✔ PECOS✔ Accepts MedicareSame address
Karen Grassie, M.D.
General Surgery
NPI 1417056516
7580 AUBURN RD SUITE 314
Concord Twp, OH 44077
(440) 352-0646
✔ PECOS✔ Accepts MedicareSame address
Patricia Kelly, C.N.P.
Nurse Practitioner
NPI 1639362916
7580 AUBURN RD SUITE 202
Painesville, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Razieh Mohseni, MD
Internal Medicine
NPI 1629053426
7580 AUBURN RD STE 309
Concord Twp, OH 44077
(440) 352-2702
✔ PECOS✔ Accepts MedicareSame address
Kathryn Thomas, CNP
Nurse Practitioner
NPI 1699915744
7580 AUBURN ROAD
Concord Township, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Christina Zayicek, CNP
Nurse Practitioner
NPI 1861769630
7580 AUBURN RD #202
Painesville, OH 44077
(440) 354-1899
✔ PECOSSame address
Judy Mindzora
Nurse Practitioner
NPI 1578075321
7590 AUBURN RD
Concord Twp, OH 44077
(440) 354-1899
✔ PECOS✔ Accepts Medicare0.1 mi
Frank Myers, DO
Orthopedic Surgery
NPI 1528037173
7551 FREDLE DR
Painesville, OH 44077
(440) 350-9595
✔ PECOS0.2 mi
Raquel Buehner, NP-C
Nurse Practitioner
NPI 1023602745
8007 AUBURN RD STE 3
Concord Twp, OH 44077
(440) 375-5520
✔ PECOS0.8 mi
Dannielle Mastroianni, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1760188825
11775 ARBOR GLEN DR
Chardon, OH 44024
(440) 983-1606
✔ PECOS✔ Accepts Medicare2.7 mi
Mark Komar, MD
Family Practice
NPI 1003883711
9500 MENTOR AVE SUITE 100
Mentor, OH 44060
(440) 352-4880
✔ PECOS3.0 mi
John Allen, D.O.
Internal Medicine
NPI 1215514815
9500 MENTOR AVENUE SUITE 100
Mentor, OH 44060
(440) 898-1021
✔ PECOS✔ Accepts Medicare3.0 mi
Gordon Bodzin, M.D.
General Surgery
NPI 1053388637
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-1899
✔ PECOS✔ Accepts Medicare3.0 mi
Marc Dinga, MD
Pulmonary Disease
NPI 1760470751
9500 MENTOR AVEMUE SUITE 100
Mentor, OH 44060
(440) 255-5620
✔ PECOS3.0 mi
Timothy Pritchard, M.D.
Colorectal Surgery (Proctology)
NPI 1225126824
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-0377
✔ PECOS3.0 mi
David Reznick, M.D.
Critical Care (Intensivists)
NPI 1821380023
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-0377
✔ PECOS✔ Accepts Medicare3.0 mi
See all 284 clinicians

Source: 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 Lake Hospital System Inc.'s NPI number?

The NPI number for Lake Hospital System Inc. is 1043275837. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Lake Hospital System Inc. located?

Lake Hospital System Inc. is located at 7590 Auburn Rd, Concord Twp, OH 44077. The listed phone number is (440) 375-8152.

What is Lake Hospital System Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lake Hospital System Inc. enrolled in Medicare?

Yes. Lake Hospital System Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System Inc.. 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 (115), Family Practice (51) and Internal Medicine (20). Of these, 10 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Hospital System Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.