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LAKES DERMATOLOGY
NPI 1194186833
Nurse Practitioner in Spirit Lake, IA

Active since March 08, 2016CLIA 16D2115309 · Waiver
2704 ENTERPRISE AVE, SPIRIT LAKE, IA 51360(712) 336-2728(712) 336-2842 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1194186833
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLAKES DERMATOLOGY, PLLC
Location Address2704 ENTERPRISE AVESpirit Lake, IA 51360
Mailing Address2704 Enterprise AveSpirit Lake, IA 51360 · (712) 336-2728 · Fax (712) 336-2842
Phone(712) 336-2728
Fax(712) 336-2842
Organization SubpartNo
Authorized OfficialCrystal Elizabeth MeyerOwner · (712) 336-2728
Enumeration DateMarch 8, 2016
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1194186833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A-118055
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2704 ENTERPRISE AVE, Spirit Lake, IA 51360
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Other Names 1

Doing Business AsLakes Dermatology

Other Identifiers 1

Other1841548161IA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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, IA
Active · expires Mar 28, 2028
CLIA Number16D2115309
Laboratory TypePractitioner Other
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorCrystal Meyer
Laboratory Phone(712) 336-2728
Laboratory LocationLakes Dermatology, PLLC2704 Enterprise Ave, Spirit Lake, IA 51360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADELEE A DIXON DC
Chiropractor
2704 ENTERPRISE AVE
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1365
KELSEY DIANE SCHMIDT
Nurse Practitioner (Family)
2704 ENTERPRISE AVE
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-2728
STEPHANIE MARIE NEWKIRK NP
Nurse Practitioner
2704 ENTERPRISE AVE
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-2728
AARON WADE DIXON DC
Chiropractor
2704 ENTERPRISE AVE
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1365
DIXON FAMILY CHIROPRACTIC, PC
Chiropractor
2704 ENTERPRISE AVE
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1365
MRS. CRYSTAL ELIZABETH MEYER ARNP
Nurse Practitioner
2704 ENTERPRISE AVE
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-2728

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 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.

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 Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers 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.