LAKEVIEW WELLNESS
NPI 1144099524
Family Medicine in Port Clinton, OH
About Lakeview Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEVIEW WELLNESS (NPI 1144099524) is a healthcare organization registered as a family medicine in Port Clinton, Ohio and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Shoshana Eisenstein, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Lakeview Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeview Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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
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 36D2297419
Lakeview Wellness · Port Clinton, OHFrequently 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 Lakeview Wellness's NPI number?
The NPI number for Lakeview Wellness is 1144099524. It was assigned to this organization in the NPPES registry on December 27, 2023.
Where is Lakeview Wellness located?
Lakeview Wellness is located at 619 Fulton St # 200, Port Clinton, OH 43452. The listed phone number is (419) 967-6765.
What is Lakeview Wellness's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lakeview Wellness enrolled in Medicare?
Yes. Lakeview Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeview Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeview Wellness, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakeview Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2297419) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lakeview Wellness accept?
Health plans from Anthem Blue Cross and Blue Shield list Lakeview Wellness 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 Lakeview Wellness was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lakeview Wellness · NPI 1144099524
Family Medicine organization in Port Clinton, Ohio. Organization record, active in the CMS NPPES registry since December 27, 2023.
## Identity
- **NPI:** 1144099524 (Entity type: Organization)
- **Enumerated:** December 27, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shoshana Eisenstein, PARTNER
## Practice location
- **Address:** 619 FULTON ST # 200, Port Clinton, OH 43452-2069
- **Phone:** (419) 967-6765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144099524) · Data from the CMS NPPES public registry.