LAKE CAVANAUGH WELLNESS
NPI 1174483937
Clinic/Center in Mount Vernon, WA
About Lake Cavanaugh Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CAVANAUGH WELLNESS (NPI 1174483937) is a healthcare organization registered as a clinic/center in Mount Vernon, Washington and active in the NPI registry since November 2025. The organization lists Sarah Schulke, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Cavanaugh Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Cavanaugh Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Cavanaugh Wellness's NPI number?
The NPI number for Lake Cavanaugh Wellness is 1174483937. It was assigned to this organization in the NPPES registry on November 14, 2025.
Where is Lake Cavanaugh Wellness located?
Lake Cavanaugh Wellness is located at 35206 Phipps Dr, Mount Vernon, WA 98274. The listed phone number is (360) 224-3222.
What is Lake Cavanaugh Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Lake Cavanaugh Wellness enrolled in Medicare?
Yes. Lake Cavanaugh Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Cavanaugh Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lake Cavanaugh Wellness. 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. 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 Cavanaugh Wellness was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Lake Cavanaugh Wellness · NPI 1174483937
Clinic/Center organization in Mount Vernon, Washington. Organization record, active in the CMS NPPES registry since November 14, 2025.
## Identity
- **NPI:** 1174483937 (Entity type: Organization)
- **Enumerated:** November 14, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Sarah Schulke, NP
## Practice location
- **Address:** 35206 PHIPPS DR, Mount Vernon, WA 98274-8223
- **Phone:** (360) 224-3222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174483937) · Data from the CMS NPPES public registry.