LAKES AREA HEALTH CENTER, PLLC
NPI 1467403030
Clinic/Center - Multi-Specialty in Eagan, MN
About Lakes Area Health Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKES AREA HEALTH CENTER, PLLC (NPI 1467403030), doing business as Ottomeyer Clinics, Pllc, is a healthcare organization registered as a multi-specialty in Eagan, Minnesota and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through August 8, 2028 and lists Grant Pylkas, Chairman, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
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)
Lakes Area Health Center, Pllc 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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Lakes Area Health Center, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Accreditation 24D2153873
Lakes Area Health Center · Eagan, MNFrequently 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 Lakes Area Health Center, PLLC's NPI number?
The NPI number for Lakes Area Health Center, PLLC is 1467403030. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Ottomeyer Clinics. The provider was formerly known as Ottomeyer Clinics, PLLC.
Where is Lakes Area Health Center, PLLC located?
Lakes Area Health Center, PLLC is located at 1440 Duckwood Dr Ste 200, Eagan, MN 55122. The listed phone number is (651) 203-4673.
What is Lakes Area Health Center, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Lakes Area Health Center, PLLC enrolled in Medicare?
Yes. Lakes Area Health Center, PLLC is registered in the Medicare PECOS enrollment system.
When is Lakes Area Health Center, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) 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.
How many clinicians bill Medicare through Lakes Area Health Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lakes Area Health Center, PLLC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakes Area Health Center, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D2153873) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lakes Area Health Center, PLLC was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lakes Area Health Center, Pllc · NPI 1467403030
Multi-Specialty organization in Eagan, Minnesota. Organization record, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1467403030 (Entity type: Organization)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Ottomeyer Clinics (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Grant Pylkas, CHAIRMAN
## Practice location
- **Address:** 1440 DUCKWOOD DR STE 200, Eagan, MN 55122-1451
- **Phone:** (651) 203-4673 · **Fax:** (651) 203-5130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2022
- **Other identifiers:** Other 24D2153873
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467403030) · Data from the CMS NPPES public registry.