LAKESIDE PAIN CENTER PROF. LLC
NPI 1295478907
Clinic/Center - Pain in Watertown, SD
About Lakeside Pain Center Prof. Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE PAIN CENTER PROF. LLC (NPI 1295478907) is a healthcare organization registered as a pain in Watertown, South Dakota and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Austin J Beck, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lakeside Pain Center Prof. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeside Pain Center Prof. LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 43D1039478
Lakeside Pain Center Prof, LLC · Watertown, SDFrequently 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 Lakeside Pain Center Prof. LLC's NPI number?
The NPI number for Lakeside Pain Center Prof. LLC is 1295478907. It was assigned to this organization in the NPPES registry on April 20, 2022.
Where is Lakeside Pain Center Prof. LLC located?
Lakeside Pain Center Prof. LLC is located at 1512 4th St NE, Watertown, SD 57201. The listed phone number is (605) 884-0100.
What is Lakeside Pain Center Prof. LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Lakeside Pain Center Prof. LLC enrolled in Medicare?
Yes. Lakeside Pain Center Prof. LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Pain Center Prof. LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeside Pain Center Prof. LLC, in Nurse Practitioner and Pain Management. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakeside Pain Center Prof. LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D1039478) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lakeside Pain Center Prof. LLC accept?
Health plans from Avera Health Plans and Sanford Health Plan list Lakeside Pain Center Prof. 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 Lakeside Pain Center Prof. LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lakeside Pain Center Prof. Llc · NPI 1295478907
Pain organization in Watertown, South Dakota. Organization record, active in the CMS NPPES registry since April 20, 2022.
## Identity
- **NPI:** 1295478907 (Entity type: Organization)
- **Enumerated:** April 20, 2022
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Austin Beck, PHYSICIAN
## Practice location
- **Address:** 1512 4TH ST NE, Watertown, SD 57201-6824
- **Phone:** (605) 884-0100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pain Management (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295478907) · Data from the CMS NPPES public registry.