PRIMEHEALTH FAMILY PRACTICE MENTOR
NPI 1366484818
Family Medicine in Mentor, OH

Active since June 11, 2006
6990 LINDSAY DR, #3, MENTOR, OH 44060(440) 255-7938(440) 255-9196 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Primehealth Family Practice Mentor NPPES

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

PRIMEHEALTH FAMILY PRACTICE MENTOR (NPI 1366484818) is a healthcare organization registered as a family medicine in Mentor, Ohio and active in the NPI registry since June 2006. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1366484818
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE HOSPITAL SYSTEM INC
Location Address6990 LINDSAY DR, #3Mentor, OH 44060-4981
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938
Fax(440) 255-9196
Organization SubpartYesParent: Lake Hospital System, Inc.
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1366484818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6990 LINDSAY DR, Mentor, OH 44060

Other Names 1

Doing Business AsPrimehealth Family Practice Mentor

Other Identifiers 2

Medicare PINLA9358241OH
Medicaid2632548OH

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primehealth Family Practice Mentor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Primehealth Family Practice Mentor, which bills Medicare for the services they deliver. Of these, 154 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115
Family Practice51
Internal Medicine20
Obstetrics/Gynecology16
Neurology12
General Surgery10
Pediatric Medicine10
Cardiovascular Disease (Cardiology)7
21 other specialties43

Nearest to this location (20)

See all 284
Nurse Practitioner
NPI 1710237565
8316 YELLOWBRICK RD
Mentor, OH 44060
(440) 796-9023
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1750709150
8300 TYLER BLVD STE 300
Mentor, OH 44060
(440) 357-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1467454975
8300 TYLER BLVD STE 300
Mentor, OH 44060
(440) 205-1529
✔ PECOS0.2 mi
Obstetrics/Gynecology
NPI 1043229503
8300 TYLER BLVD STE 300
Mentor, OH 44060
(440) 357-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Endocrinology
NPI 1437148590
8300 TYLER BOULEVARD SUITE 102
Mentor, OH 44060
(440) 266-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1326349788
8300 TYLER BLVD STE 300
Mentor, OH 44060
(440) 205-1529
✔ PECOS0.2 mi
Internal Medicine
NPI 1770543159
7956 TYLER BLVD
Mentor, OH 44060
(440) 716-1283
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1649793241
7956 TYLER BLVD
Mentor, OH 44060
(440) 255-6040
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1982689758
8655 MARKET STREET
Mentor, OH 44060
(440) 255-6400
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1578192282
8655 MARKET STREET
Mentor, OH 44060
(440) 255-7938
✔ PECOS0.9 mi
Family Practice
NPI 1285848614
8655 MARKET STREET
Mentor, OH 44060
(440) 255-7938
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1952939746
8655 MARKET ST
Mentor, OH 44060
(440) 701-7535
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1467766261
8655 MARKET STREET
Mentor, OH 44060
(440) 255-6400
✔ PECOS✔ Accepts Medicare0.9 mi
Chiropractic
NPI 1215012257
8655 MARKET ST INTEGRATIVE MEDICINE 2ND FL
Mentor, OH 44060
(440) 255-5508
0.9 mi
Nurse Practitioner
NPI 1902448459
8655 MARKET ST
Mentor, OH 44060
(440) 255-6400
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1952824138
8655 MARKET ST
Mentor, OH 44060
(440) 701-7620
✔ PECOS0.9 mi
Family Practice
NPI 1306952650
8655 MARKET STREET
Mentor, OH 44060
(440) 255-7938
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1881072429
7389 SHARONLEE DR
Mentor, OH 44060
(440) 227-2146
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1528562873
7232 JUSTIN WAY
Mentor, OH 44060
(440) 578-8200
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1104380328
7232 JUSTIN WAY
Mentor, OH 44060
(440) 578-8200
✔ PECOS✔ Accepts Medicare1.0 mi
See all 284 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hospital System Inc's NPI number?

The NPI number for Lake Hospital System Inc is 1366484818. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Primehealth Family Practice Mentor.

Where is Lake Hospital System Inc located?

Lake Hospital System Inc is located at 6990 Lindsay Dr #3, Mentor, OH 44060. The listed phone number is (440) 255-7938.

What is Lake Hospital System Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lake Hospital System Inc enrolled in Medicare?

Yes. Lake Hospital System Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System Inc. 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. The largest specialties are Nurse Practitioner (115), Family Practice (51) and Internal Medicine (20). Of these, 154 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Hospital System Inc was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.