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LAKEVILLE FAMILY MEDICINE PC
NPI 1356545800
Clinic/Center - Primary Care in Lakeville, MA

Active since June 11, 2007
5 PRECINCT ST, LAKEVILLE, MA 02347(508) 947-6666 Get Directions Write a Review

NPPES record last updated: October 12, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeville Family Medicine Pc NPPES

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

LAKEVILLE FAMILY MEDICINE PC (NPI 1356545800) is a healthcare organization registered as a primary care in Lakeville, Massachusetts and active in the NPI registry since June 2007. The organization lists Robert James Gagnon, President, as its authorized official.

NPPES Registry Identity

NPI1356545800
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKEVILLE FAMILY MEDICINE PC
Location Address5 PRECINCT STLakeville, MA 02347-1427
Mailing Address5 Precinct StLakeville, MA 02347-1427 · (508) 947-6666
Phone(508) 947-6666
Organization SubpartNo
Authorized OfficialRobert James GagnonPresident · (508) 947-6666
Enumeration DateJune 11, 2007
Last NPPES UpdateOctober 12, 2010
✔ NPI 1356545800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MA · 81226
5 PRECINCT ST, Lakeville, MA 02347
Open in Google Maps ↗

Other Identifiers 1

OtherM17688MA · Mass Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Lakeville Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeville Family Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Koester, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1407446909
5 PRECINCT ST
Lakeville, MA 02347
(508) 947-6666
✔ PECOS✔ Accepts Medicare0.3 mi
Robert Gagnon, MD
Family Practice
NPI 1124090493
5 PRECINCT ST
Lakeville, MA 02347
(508) 947-6666
✔ PECOS✔ Accepts Medicare0.9 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 22D0907412

Lakeville Family Medicine PC · Lakeville, MA
Expired · Oct 6, 2026
CLIA Number22D0907412
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorRobert J. Gagnon
Laboratory Phone(508) 947-6666
Laboratory LocationLakeville Family Medicine PC5 Precinct Street, Lakeville, MA 02347
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.

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 Lakeville Family Medicine PC's NPI number?

The NPI number for Lakeville Family Medicine PC is 1356545800. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Lakeville Family Medicine PC located?

Lakeville Family Medicine PC is located at 5 Precinct St, Lakeville, MA 02347. The listed phone number is (508) 947-6666.

What is Lakeville Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lakeville Family Medicine PC enrolled in Medicare?

Yes. Lakeville Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeville Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeville Family Medicine PC, in Family Practice and Nurse Practitioner. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeville Family Medicine PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lakeville Family Medicine PC 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 Lakeville Family Medicine PC was last updated on October 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.