LAKES DERMATOLOGY
NPI 1194186833
Nurse Practitioner in Spirit Lake, IA
About Lakes Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKES DERMATOLOGY (NPI 1194186833) is a healthcare organization registered as a nurse practitioner in Spirit Lake, Iowa and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Crystal Elizabeth Meyer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Lakes Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Lakes Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 16D2115309
Lakes Dermatology, PLLC · Spirit Lake, IAFrequently 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 Lakes Dermatology, PLLC's NPI number?
The NPI number for Lakes Dermatology, PLLC is 1194186833. It was assigned to this organization in the NPPES registry on March 8, 2016. The provider is doing business as Lakes Dermatology.
Where is Lakes Dermatology, PLLC located?
Lakes Dermatology, PLLC is located at 2704 Enterprise Ave, Spirit Lake, IA 51360. The listed phone number is (712) 336-2728.
What is Lakes Dermatology, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Lakes Dermatology, PLLC enrolled in Medicare?
Yes. Lakes Dermatology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakes Dermatology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lakes Dermatology, PLLC. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakes Dermatology, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2115309) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lakes Dermatology, PLLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Lakes Dermatology, PLLC 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 Lakes Dermatology, PLLC was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lakes Dermatology · NPI 1194186833
Nurse Practitioner organization in Spirit Lake, Iowa. Organization record, active in the CMS NPPES registry since March 8, 2016.
## Identity
- **NPI:** 1194186833 (Entity type: Organization)
- **Enumerated:** March 8, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Lakes Dermatology, Pllc
- **Organization subpart:** No
- **Authorized official:** Crystal Meyer, OWNER
## Practice location
- **Address:** 2704 ENTERPRISE AVE, Spirit Lake, IA 51360
- **Phone:** (712) 336-2728 · **Fax:** (712) 336-2842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2022
- **Other identifiers:** Other 1841548161 (IA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194186833) · Data from the CMS NPPES public registry.