LAKEVIEW FAMILY PRACTICE, LLC
NPI 1356068480
Clinic/Center - Primary Care in Palmer, AK
About Lakeview Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEVIEW FAMILY PRACTICE, LLC (NPI 1356068480) is a healthcare organization registered as a primary care in Palmer, Alaska and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Kimberly Jo Crandall, Np, 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)
Lakeview Family Practice, 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 Lakeview Family Practice, 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 02D2329320
Lakeview Family Practice, LLC · Palmer, AKFrequently 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 Lakeview Family Practice, LLC's NPI number?
The NPI number for Lakeview Family Practice, LLC is 1356068480. It was assigned to this organization in the NPPES registry on October 19, 2022.
Where is Lakeview Family Practice, LLC located?
Lakeview Family Practice, LLC is located at 1901 N Hemmer Rd Ste 208, Palmer, AK 99645. The listed phone number is (907) 203-4677.
What is Lakeview Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lakeview Family Practice, LLC enrolled in Medicare?
Yes. Lakeview Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeview Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lakeview Family Practice, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakeview Family Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2329320) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lakeview Family Practice, LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Lakeview Family Practice, 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 Lakeview Family Practice, LLC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Lakeview Family Practice, Llc · NPI 1356068480
Primary Care organization in Palmer, Alaska. Organization record, active in the CMS NPPES registry since October 19, 2022.
## Identity
- **NPI:** 1356068480 (Entity type: Organization)
- **Enumerated:** October 19, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kimberly Crandall, NP
## Practice location
- **Address:** 1901 N HEMMER RD STE 208, Palmer, AK 99645-9673
- **Phone:** (907) 203-4677 · **Fax:** (800) 516-0397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356068480) · Data from the CMS NPPES public registry.