PRIMEHEALTH PERRY HEALTH AND WELLNESS CENTER
NPI 1174762512
Family Medicine in Perry, OH
About Primehealth Perry Health And Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMEHEALTH PERRY HEALTH AND WELLNESS CENTER (NPI 1174762512) is a healthcare organization registered as a family medicine in Perry, Ohio and active in the NPI registry since February 2009. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primehealth Perry Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
284Medicare enrollment records show 284 clinicians reassign Medicare billing to Primehealth Perry Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 23 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 284Source: 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 Hospital System, Inc.'s NPI number?
The NPI number for Lake Hospital System, Inc. is 1174762512. It was assigned to this organization in the NPPES registry on February 9, 2009. The provider is doing business as Primehealth Perry Health And Wellness Center.
Where is Lake Hospital System, Inc. located?
Lake Hospital System, Inc. is located at 2 Success Blvd., Perry, OH 44081. The listed phone number is (440) 375-8590.
What is Lake Hospital System, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lake Hospital System, Inc. enrolled in Medicare?
Yes. Lake Hospital System, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Hospital System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System, Inc.. 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 (115), Family Practice (51) and Internal Medicine (20). Of these, 23 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 Hospital System, Inc. was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Primehealth Perry Health And Wellness Center · NPI 1174762512
Family Medicine organization in Perry, Ohio. Organization record, active in the CMS NPPES registry since February 9, 2009.
## Identity
- **NPI:** 1174762512 (Entity type: Organization)
- **Enumerated:** February 9, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Lake Hospital System, Inc.
- **Organization subpart:** No
- **Authorized official:** Robert Tracz, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 2 SUCCESS BLVD., Perry, OH 44081
- **Phone:** (440) 375-8590 · **Fax:** (440) 259-2106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 284 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (115), Family Practice (51), Internal Medicine (20); 23 practice within 10 miles; [full list](https://npiprofile.com/npi/1174762512/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1174762512) · Data from the CMS NPPES public registry.