NORTHLAKES COMMUNITY CLINIC
NPI 1083961163
Clinic/Center - Federally Qualified Health Center (FQHC) in Minong, WI
About Northlakes Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHLAKES COMMUNITY CLINIC (NPI 1083961163) is a healthcare organization registered as a federally qualified health center (fqhc) in Minong, Wisconsin and active in the NPI registry since August 2012. The organization holds 2 active CLIA laboratory certificates and lists Reba Rice, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Northlakes Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
118Medicare enrollment records show 118 clinicians reassign Medicare billing to Northlakes Community Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 118Hayward, WI 54843
Iron River, WI 54847
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2187635
Northlakes Community Clinic · Turtle Lake, WICertificate of Compliance 52D0397081
Northlakes Community Clinic · Minong, WIFrequently 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 The Lakes Community Health Center, Inc's NPI number?
The NPI number for The Lakes Community Health Center, Inc is 1083961163. It was assigned to this organization in the NPPES registry on August 8, 2012. The provider is doing business as Northlakes Community Clinic.
Where is The Lakes Community Health Center, Inc located?
The Lakes Community Health Center, Inc is located at 600 W Shell Creek Rd, Minong, WI 54859. The listed phone number is (715) 466-2201.
What is The Lakes Community Health Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is The Lakes Community Health Center, Inc enrolled in Medicare?
Yes. The Lakes Community Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Lakes Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 118 clinicians in 12 Medicare specialties reassign their Medicare billing to The Lakes Community Health Center, 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 Mental Health Counselor (35), Nurse Practitioner (18) and Chiropractic (15). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does The Lakes Community Health Center, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does The Lakes Community Health Center, Inc accept?
Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list The Lakes Community Health Center, Inc 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 The Lakes Community Health Center, Inc was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Northlakes Community Clinic · NPI 1083961163
Federally Qualified Health Center (FQHC) organization in Minong, Wisconsin. Organization record, active in the CMS NPPES registry since August 8, 2012.
## Identity
- **NPI:** 1083961163 (Entity type: Organization)
- **Enumerated:** August 8, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** The Lakes Community Health Center, Inc
- **Organization subpart:** No
- **Authorized official:** Reba Rice, CEO
## Practice location
- **Address:** 600 W SHELL CREEK RD, Minong, WI 54859-9302
- **Phone:** (715) 466-2201 · **Fax:** (715) 466-2205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 118 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (35), Nurse Practitioner (18), Chiropractic (15); 2 practice at this address; [full list](https://npiprofile.com/npi/1083961163/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2021
- **Other identifiers:** Medicaid 1811178825 (WI)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083961163) · Data from the CMS NPPES public registry.