LAKE CUMBERLAND SURGICAL ASSOCIATES
NPI 1093092744
Nurse Practitioner - Family in Somerset, KY

Active since November 09, 2011
353 BOGLE ST, SUITE A, SOMERSET, KY 42503(606) 451-6005(606) 678-2087 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2022, Sep 24, 2022 (2 updates tracked since 2022).

About Lake Cumberland Surgical Associates NPPES

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

LAKE CUMBERLAND SURGICAL ASSOCIATES (NPI 1093092744) is a healthcare organization registered as a family in Somerset, Kentucky and active in the NPI registry since November 2011. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1093092744
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAKE CUMBERLAND REGIONAL HOSPITAL LLC
Location Address353 BOGLE ST, SUITE ASomerset, KY 42503-2888
Mailing Address353 Bogle St, Suite ASomerset, KY 42503-2888 · (606) 451-6005 · Fax (606) 678-2087
Fax(606) 678-2087
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateNovember 9, 2011
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1093092744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
353 BOGLE ST, Somerset, KY 42503

Other Names 1

Doing Business AsLake Cumberland Surgical Associates

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 Cumberland Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

88

Medicare enrollment records show 88 clinicians reassign Medicare billing to Lake Cumberland Surgical Associates, which bills Medicare for the services they deliver. Of these, 58 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner25
Family Practice20
Internal Medicine15
Obstetrics/Gynecology7
Emergency Medicine3
Gastroenterology3
General Surgery3
Hospitalist3
7 other specialties9

Nearest to this location (20)

See all 88
Interventional Cardiology
NPI 1366422644
349 BOGLE ST SUITE B
Somerset, KY 42503
(606) 451-9448
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1710381124
350 HOSPITAL WAY
Somerset, KY 42503
(606) 451-2601
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1700852639
350 HOSPITAL WAY STE 101
Somerset, KY 42503
(606) 451-5092
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1982666897
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2671
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1467795690
350 HOSPITAL WAY
Somerset, KY 42503
(606) 451-2600
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1043664774
350 HOSPITAL WAY SUITE 101
Somerset, KY 42503
(606) 451-5093
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1700800844
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2629
✔ PECOS✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1447887377
350 HOSPITAL WAY
Somerset, KY 42503
(606) 451-3890
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1740254358
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2662
✔ PECOS0.2 mi
Family Practice
NPI 1609840073
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2650
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1083688444
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2650
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1841241668
305 LANGDON ST
Somerset, KY 42503
(606) 679-7441
✔ PECOS0.2 mi
Obstetrics/Gynecology
NPI 1194821249
333 BOGLE ST
Somerset, KY 42503
(606) 678-0705
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1538579826
333 BOGLE ST
Somerset, KY 42503
(606) 678-0705
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1538275557
350 HOSPITAL WAY SUITE 250
Somerset, KY 42503
(606) 451-6005
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Cardiology
NPI 1720067168
104 HARDIN LN SUITE B
Somerset, KY 42503
(606) 677-1112
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1922028604
110 HARDIN LANE SUITE10
Somerset, KY 42503
(606) 678-0946
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1407397342
305 LANGDON ST
Somerset, KY 42503
(606) 679-7441
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1467894113
305 LANGDON ST
Somerset, KY 42503
(606) 678-3315
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1760413058
305 LANGDON ST
Somerset, KY 42503
(606) 679-7441
✔ PECOS0.3 mi
See all 88 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 Cumberland Regional Hospital LLC's NPI number?

The NPI number for Lake Cumberland Regional Hospital LLC is 1093092744. It was assigned to this organization in the NPPES registry on November 9, 2011. The provider is doing business as Lake Cumberland Surgical Associates.

Where is Lake Cumberland Regional Hospital LLC located?

Lake Cumberland Regional Hospital LLC is located at 353 Bogle St Suite A, Somerset, KY 42503. The listed phone number is (606) 451-6005.

What is Lake Cumberland Regional Hospital LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lake Cumberland Regional Hospital LLC enrolled in Medicare?

Yes. Lake Cumberland Regional Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Cumberland Regional Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 15 Medicare specialties reassign their Medicare billing to Lake Cumberland Regional Hospital 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 (25), Family Practice (20) and Internal Medicine (15). Of these, 58 practice 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 Cumberland Regional Hospital LLC was last updated on October 7, 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.