LAKE MICHIGAN EMERGENCY SPECIALISTS, PLLC
NPI 1124574520
Emergency Medicine in Muskegon, MI

Active since August 27, 2016
1700 CLINTON ST, EMERGENCY DEPARTMENT, MUSKEGON, MI 49442(231) 728-4601 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2022, Aug 27, 2016 (2 updates tracked since 2016).

About Lake Michigan Emergency Specialists, Pllc NPPES

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

LAKE MICHIGAN EMERGENCY SPECIALISTS, PLLC (NPI 1124574520) is a healthcare organization registered as an emergency medicine in Muskegon, Michigan and active in the NPI registry since August 2016. The organization lists Marc Whitaker, Board Member, as its authorized official.

NPPES Registry Identity

NPI1124574520
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameLAKE MICHIGAN EMERGENCY SPECIALISTS, PLLC
Location Address1700 CLINTON ST, EMERGENCY DEPARTMENTMuskegon, MI 49442-5502
Mailing Address800 E Ellis Rd Ste 571Norton Shores, MI 49441-5622 · (231) 728-4601
Organization SubpartNo
Authorized OfficialMarc WhitakerBoard Member · (231) 728-4601
Enumeration DateAugust 27, 2016
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1124574520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1700 CLINTON ST, Muskegon, MI 49442

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Lake Michigan Emergency Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Lake Michigan Emergency Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Emergency Medicine75
Nurse Practitioner8

Nearest to this location (20)

See all 83
Emergency Medicine
NPI 1205465143
1700 CLINTON ST
Muskegon, MI 49442
(231) 726-3511
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1770004848
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1235510843
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1790136828
1700 CLINTON ST SUITE 315
Muskegon, MI 49442
(231) 727-5244
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1932738960
1700 CLINTON ST
Muskegon, MI 49442
(231) 726-3511
✔ PECOSSame address
Emergency Medicine
NPI 1902286248
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1174044259
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1194827808
1700 CLINTON ST
Muskegon, MI 49443
(231) 728-4601
✔ PECOSSame address
Emergency Medicine
NPI 1467733063
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4601
✔ PECOSSame address
Emergency Medicine
NPI 1831579325
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1538180732
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4601
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1952781445
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1083701361
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4601
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1295229482
1700 CLINTON ST
Muskegon, MI 49442
(231) 726-3511
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1639217896
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4601
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1063827863
1700 CLINTON ST
Muskegon, MI 49442
(231) 727-5250
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1043879398
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1952189482
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4601
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1477074342
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4936
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861744005
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-4601
✔ PECOS✔ Accepts MedicareSame address
See all 83 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 Michigan Emergency Specialists, PLLC's NPI number?

The NPI number for Lake Michigan Emergency Specialists, PLLC is 1124574520. It was assigned to this organization in the NPPES registry on August 27, 2016.

Where is Lake Michigan Emergency Specialists, PLLC located?

Lake Michigan Emergency Specialists, PLLC is located at 1700 Clinton St Emergency Department, Muskegon, MI 49442. The listed phone number is (231) 728-4601.

What is Lake Michigan Emergency Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lake Michigan Emergency Specialists, PLLC enrolled in Medicare?

Yes. Lake Michigan Emergency Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Michigan Emergency Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Michigan Emergency Specialists, PLLC. 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 Emergency Medicine (75) and Nurse Practitioner (8). Of these, 36 practice at this address and 50 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Michigan Emergency Specialists, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lake Michigan Emergency Specialists, PLLC 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 Lake Michigan Emergency Specialists, PLLC was last updated on April 18, 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.