LAKELAND MEDICAL PRACTICES
NPI 1134898505
Audiologist in Niles, MI

Active since September 09, 2021
42 N SAINT JOSEPH AVE STE 300, NILES, MI 49120(269) 687-2910 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2022, Jan 14, 2022, Sep 9, 2021 (3 updates tracked since 2021).

About Lakeland Medical Practices NPPES

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

LAKELAND MEDICAL PRACTICES (NPI 1134898505) is a healthcare organization registered as an audiologist in Niles, Michigan and active in the NPI registry since September 2021. The organization lists Paul Konopacki, Finance, Vp, as its authorized official.

NPPES Registry Identity

NPI1134898505
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameLAKELAND MEDICAL PRACTICES
Location Address42 N SAINT JOSEPH AVE STE 300Niles, MI 49120-2203
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Organization SubpartNo
Authorized OfficialPaul KonopackiFinance, Vp · (616) 486-9305
Enumeration DateSeptember 9, 2021
Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1134898505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X
Also ListedHearing Aid EquipmentTaxonomy 332S00000X
42 N SAINT JOSEPH AVE STE 300, Niles, MI 49120

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeland Medical Practices is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20090928000216Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

724

Medicare enrollment records show 724 clinicians reassign Medicare billing to Lakeland Medical Practices, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Neurology184
Nurse Practitioner116
Internal Medicine83
Pediatric Medicine51
Family Practice50
Obstetrics/Gynecology24
Cardiovascular Disease (Cardiology)22
General Surgery18
36 other specialties176

Nearest to this location (20)

See all 724
General Surgery
NPI 1558317446
42 N SAINT JOSEPH AVE SUITE 101
Niles, MI 49120
(269) 684-6696
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073170023
42 N SAINT JOSEPH AVE STE 100
Niles, MI 49120
(696) 846-6962
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1851363618
42 N SAINT JOSEPH AVE SUITE100
Niles, MI 49120
(269) 684-6696
✔ PECOSSame address
General Practice
NPI 1215966528
42 N SAINT JOSEPH AVE SUITE 200
Niles, MI 49120
(269) 687-0808
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023668951
42 N SAINT JOSEPH AVE STE 101
Niles, MI 49120
(269) 687-4673
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1043537020
42 N SAINT JOSEPH AVE STE 100
Niles, MI 49120
(269) 684-6696
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700836699
42 N SAINT JOSEPH AVE 101
Niles, MI 49120
(269) 684-6697
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1447963889
42 N SAINT JOSEPH AVE STE 201
Niles, MI 49120
(269) 687-0808
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780675140
42 N SAINT JOSEPH AVE SUITE 201
Niles, MI 49120
(269) 687-0808
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1578944328
42 N SAINT JOSEPH AVE STE 201
Niles, MI 49120
(269) 687-0808
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962506527
24 N ST JOSEPH AVE
Niles, MI 49120
(269) 684-8356
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1770903189
31 N SAINT JOSEPH AVE
Niles, MI 49120
(269) 684-6777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144521063
31 N SAINT JOSEPH AVE
Niles, MI 49120
(269) 683-5510
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1801856141
61 N ST JOSEPH AVE
Niles, MI 49120
(269) 684-6777
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1467424218
42 NORTH ST.JOSEPH AVE SUITE 300
Niles, MI 49120
(269) 687-2910
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1780846261
42 NORTH ST. JOSEPH AVE. SUITE 201
Niles, MI 49120
(269) 687-0808
✔ PECOS0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1003812926
61 N SAINT JOSEPH AVE
Niles, MI 49120
(269) 684-6777
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1063831469
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
(269) 687-2910
✔ PECOS0.5 mi
Certified Nurse Midwife (CNM)
NPI 1912474388
42 N SAINT JOSEPH AVE STE 201
Niles, MI 49120
(269) 687-0808
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1083788285
42 N SAINT JOSEPH AVE STE 103
Niles, MI 49120
(269) 683-8528
✔ PECOS✔ Accepts Medicare0.5 mi
See all 724 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 Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1134898505. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 42 N Saint Joseph Ave Ste 300, Niles, MI 49120. The listed phone number is (269) 687-2910.

What is Lakeland Medical Practices's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Lakeland Medical Practices enrolled in Medicare?

Yes. Lakeland Medical Practices is registered in the Medicare PECOS enrollment system.

When is Lakeland Medical Practices's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lakeland Medical Practices?

According to the CMS Revalidation Reassignment List (October 2026 release), 724 clinicians in 44 Medicare specialties reassign their Medicare billing to Lakeland Medical Practices. 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 Neurology (184), Nurse Practitioner (116) and Internal Medicine (83). Of these, 14 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeland Medical Practices accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeland Medical Practices 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 Lakeland Medical Practices was last updated on August 17, 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.