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LAKE REGIONAL OBSTETRICS & GYNECOLOGY
NPI 1316616212
Clinic/Center - Rural Health in Osage Beach, MO

Active since September 13, 2021CLIA Certified · 2 labs
54 HOSPITAL DR STE 201, OSAGE BEACH, MO 65065(573) 302-2764(573) 302-2767 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2023, Sep 13, 2021 (2 updates tracked since 2021).

About Lake Regional Obstetrics & Gynecology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE REGIONAL OBSTETRICS & GYNECOLOGY (NPI 1316616212) is a healthcare organization registered as a rural health in Osage Beach, Missouri and active in the NPI registry since September 2021. The organization holds 2 active CLIA laboratory certificates and lists Kevin Mcroberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316616212
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address54 HOSPITAL DR STE 201Osage Beach, MO 65065-3050
Mailing AddressPo Box 801661Kansas City, MO 64180-1661 · (573) 348-8000
Phone(573) 302-2764
Fax(573) 302-2767
Organization SubpartNo
Authorized OfficialKevin McrobertsCeo · (573) 348-8756
Enumeration DateSeptember 13, 2021
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1316616212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
54 HOSPITAL DR STE 201, Osage Beach, MO 65065
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Regional Obstetrics & Gynecology

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Regional Obstetrics & Gynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20210924000114Part A · Rural Health ClinicDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 26D2041894

Lake Regional Obstetrics & Gynecology · Osage Beach, MO
Active · expires May 30, 2028
CLIA Number26D2041894
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorBecky Simpson
Laboratory Phone(573) 302-2764
Laboratory LocationLake Regional Obstetrics & Gynecology54 Hospital Drive, Osage Beach, MO 65065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 26D2126164

Lake Regional Obstetrics And Gynecology · Versailles, MO
Active · expires Feb 20, 2027
CLIA Number26D2126164
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorBecky Watson
Laboratory Phone(573) 302-2764
Laboratory LocationLake Regional Obstetrics And Gynecology1109 Clay Road Suite B, Versailles, MO 65084
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

APRIL LYNN MILLER APRN-FNP
Nurse Practitioner (Family)
54 HOSPITAL DR STE 201
OSAGE BEACH, MO 65065
Camden County (573) 302-2764
MS. ROBYN VEE MCHUGH CNM, CPM
Advanced Practice Midwife
54 HOSPITAL DR STE 201
OSAGE BEACH, MO 65065
Camden County (573) 302-2764
TARA NICOLE ANDERSEN PA-C
Physician Assistant
54 HOSPITAL DR STE 201
OSAGE BEACH, MO 65065
Camden County (573) 302-2764
LAURA SESSIONS RN
Registered Nurse (Women's Health Care, Ambulatory)
54 HOSPITAL DR STE 201
OSAGE BEACH, MO 65065
Camden County (970) 231-4259

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 Regional Health System's NPI number?

The NPI number for Lake Regional Health System is 1316616212. It was assigned to this organization in the NPPES registry on September 13, 2021. The provider is doing business as Lake Regional Obstetrics & Gynecology.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 54 Hospital Dr Ste 201, Osage Beach, MO 65065. The listed phone number is (573) 302-2764.

What is Lake Regional Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Lake Regional Health System enrolled in Medicare?

Yes. Lake Regional Health System is registered in the Medicare PECOS enrollment system.

When is Lake Regional Health System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Missouri, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Lake Regional Health System hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lake Regional Health System accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Lake Regional Health System 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 Lake Regional Health System was last updated on October 12, 2023. 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.