GREAT LAKES URGENT CARE
NPI 1184705121
Clinic/Center - Urgent Care in Perrysburg, OH
About Great Lakes Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES URGENT CARE (NPI 1184705121) is a healthcare organization registered as an urgent care in Perrysburg, Ohio and active in the NPI registry since October 2006. The organization lists Kyle Prueter, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Great Lakes Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Great Lakes Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Independence, OH 44131
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 36D1090109
Great Lakes Medical Services LLC · Perrysburg, 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 Great Lakes Medical Services LLC's NPI number?
The NPI number for Great Lakes Medical Services LLC is 1184705121. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Great Lakes Urgent Care.
Where is Great Lakes Medical Services LLC located?
Great Lakes Medical Services LLC is located at 25660 Dixie Hwy, Perrysburg, OH 43551. The listed phone number is (419) 872-5343.
What is Great Lakes Medical Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Great Lakes Medical Services LLC enrolled in Medicare?
Yes. Great Lakes Medical Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Medical Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Great Lakes Medical Services LLC. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Medical Services LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Great Lakes Medical Services LLC 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 Great Lakes Medical Services LLC was last updated on May 1, 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.
# Great Lakes Urgent Care · NPI 1184705121
Urgent Care organization in Perrysburg, Ohio. Organization record, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1184705121 (Entity type: Organization)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Great Lakes Medical Services Llc
- **Organization subpart:** No
- **Authorized official:** Kyle Prueter, PRESIDENT
## Practice location
- **Address:** 25660 DIXIE HWY, Perrysburg, OH 43551-2167
- **Phone:** (419) 872-5343 · **Fax:** (419) 872-2465
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2009
- **Other identifiers:** Medicare UPIN GR9353491 (OH); Medicare ID-Type Unspecified GR93534191
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184705121) · Data from the CMS NPPES public registry.