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LAKE HEALTH DISTRICT
NPI 1376698522
General Acute Care Hospital - Critical Access in Lakeview, OR

Active since January 25, 2007
700 S J ST, LAKEVIEW, OR 97630(541) 947-2114(541) 947-2433 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Sep 24, 2024, Aug 12, 2024 and 2 more (5 updates tracked since 2019).

About Lake Health District NPPES

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

LAKE HEALTH DISTRICT (NPI 1376698522), doing business as Lake District Hospital, is a healthcare organization registered as a critical access in Lakeview, Oregon and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Lakeview and lists Landon Dybdal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376698522
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameLAKE HEALTH DISTRICT
Location Address700 S J STLakeview, OR 97630-1623
Mailing Address700 S J StLakeview, OR 97630-1623 · (541) 947-2114 · Fax (541) 947-2433
Phone(541) 947-2114
Fax(541) 947-2433
Organization SubpartNo
Authorized OfficialLandon DybdalCeo · (541) 947-2114
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1376698522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in OR · 140896
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X · License 140896 (OR)
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 1836773096 (OR)
700 S J ST, Lakeview, OR 97630
Open in Google Maps ↗

Other Names 1

Doing Business AsLake District Hospital

Secondary Practice Location 1

Location 1700 S J StLakeview, OR 97630-1623 · Phone (541) 947-2114 · Fax (541) 947-2433

Other Identifiers 3

Other107532OR · Medicaid Oregon Health
Medicaid106146OR
Other802595OR · Medicaidore.healthl.t.c.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Health District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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
StateOregonEnrollment IDO20061104000374Part A · Critical Access HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

81

Medicare enrollment records show 81 clinicians reassign Medicare billing to Lake Health District, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Diagnostic Radiology47
Certified Registered Nurse Anesthetist (CRNA)8
Family Practice7
Nurse Practitioner6
Cardiac Electrophysiology2
Cardiovascular Disease (Cardiology)2
General Surgery2
Interventional Cardiology2
4 other specialties5

Nearest to this location (20)

See all 81
Mark Reed, MSN FNP-BC
Nurse Practitioner
NPI 1558674796
700 S J ST
Lakeview, OR 97630
(541) 947-2114
✔ PECOS✔ Accepts MedicareSame address
Bard Rogers, M.D.
Family Practice
NPI 1639185192
700 S J ST
Lakeview, OR 97630
(541) 947-2114
✔ PECOS✔ Accepts MedicareSame address
David Ager, D.C.
Chiropractic
NPI 1437335270
700 S J ST
Lakeview, OR 97630
(541) 880-3330
✔ Accepts Medicare1.0 mi
Lesa Cahill, FNP
Nurse Practitioner
NPI 1144376294
620 S J ST
Lakeview, OR 97630
(541) 947-2331
✔ PECOS✔ Accepts Medicare1.0 mi
Spencer Clarke, M.D.
Family Practice
NPI 1801873591
624 S J ST
Lakeview, OR 97630
(541) 947-3366
✔ PECOS✔ Accepts Medicare1.0 mi
Rosanne Fitzgerald, FNP-BC
Nurse Practitioner
NPI 1871840868
700 S J ST LAKE HEALTH CLINIC
Lakeview, OR 97630
(541) 947-8113
✔ PECOS✔ Accepts Medicare1.0 mi
Timothy Gallagher, M.D.
Family Practice
NPI 1952388647
624 S J ST
Lakeview, OR 97630
(541) 947-3366
✔ PECOS✔ Accepts Medicare1.0 mi
Charles Graham, D.O.
Family Practice
NPI 1700932332
620 S J ST
Lakeview, OR 97630
(541) 947-2331
✔ PECOS✔ Accepts Medicare1.0 mi
Stephen Hussey, M.D.
Family Practice
NPI 1881671576
624 S J ST
Lakeview, OR 97630
(541) 947-3366
✔ PECOS✔ Accepts Medicare1.0 mi
Amy Theall, PMHNP-BC
Nurse Practitioner
NPI 1912461088
700 S J ST
Lakeview, OR 97630
(541) 947-2114
✔ PECOS✔ Accepts Medicare1.0 mi
Stanton Smith, MD
General Surgery
NPI 1518142967
3000 BRYANT WILLIAMS DR
Klamath Falls, OR 97601
(541) 274-2345
✔ PECOS✔ Accepts Medicare72 mi
Kevin Heaton, DO
Orthopedic Surgery
NPI 1467474569
2200 BRYANT WILLIAMS DRIVE SUITE 1
Klamath Falls, OR 97601
(541) 884-7746
✔ PECOS✔ Accepts Medicare72 mi
Jaci Mastrandrea, APRN, FNP-C
Nurse Practitioner
NPI 1528779444
2610 UHRMANN RD
Klamath Falls, OR 97601
(541) 274-4800
✔ PECOS✔ Accepts Medicare72 mi
Dwight Smith, MD
Family Practice
NPI 1033122734
2821 DAGGETT AVE STE 100
Klamath Falls, OR 97601
(541) 274-6733
✔ PECOS✔ Accepts Medicare72 mi
Damon Lerma, MD
Family Practice
NPI 1407598568
2821 DAGGETT AVE STE 100
Klamath Falls, OR 97601
(541) 274-6733
✔ PECOS✔ Accepts Medicare72 mi
Mark Bradbury, M.D.
General Surgery
NPI 1053351221
2604 CLOVER ST
Klamath Falls, OR 97601
(541) 274-2888
✔ PECOS✔ Accepts Medicare72 mi
Denas Andrijauskis, MD
Diagnostic Radiology
NPI 1386268035
1460 NE MEDICAL CENTER DR
Bend, OR 97701
(630) 822-3766
✔ PECOS✔ Accepts Medicare138 mi
Leonardo Campos, M.D.
Interventional Radiology
NPI 1629339155
1460 NE MEDICAL CENTER DR
Bend, OR 97701
(541) 382-6633
✔ PECOS✔ Accepts Medicare138 mi
Nicholas Buss
Interventional Cardiology
NPI 1346414752
2500 NE NEFF RD
Bend, OR 97701
(541) 388-4333
✔ PECOS✔ Accepts Medicare138 mi
James Laughlin, MD
Cardiac Electrophysiology
NPI 1679775639
2500 NE NEFF RD
Bend, OR 97701
(541) 388-1636
✔ PECOS✔ Accepts Medicare138 mi
See all 81 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 Health District's NPI number?

The NPI number for Lake Health District is 1376698522. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Lake District Hospital.

Where is Lake Health District located?

Lake Health District is located at 700 S J St, Lakeview, OR 97630. The listed phone number is (541) 947-2114.

What is Lake Health District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Lake Health District enrolled in Medicare?

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

When is Lake Health District's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oregon, Critical Access Hospital) is due for revalidation by February 28, 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.

How many clinicians bill Medicare through Lake Health District?

According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 12 Medicare specialties reassign their Medicare billing to Lake Health District. 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 Diagnostic Radiology (47), Certified Registered Nurse Anesthetist (CRNA) (8) and Family Practice (7). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Health District accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lake Health District 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 Health District was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.