LAKE URGENT CARE - GONZALES
NPI 1477899656
Clinic/Center - Urgent Care in Gonzales, LA

Active since December 17, 2012CLIA 19D2054102 · Waiver
1702 N BURNSIDE AVE, GONZALES, LA 70737(225) 647-4988 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Urgent Care - Gonzales NPPES

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

LAKE URGENT CARE - GONZALES (NPI 1477899656) is a healthcare organization registered as an urgent care in Gonzales, Louisiana and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Steve Sellars, President, as its authorized official.

NPPES Registry Identity

NPI1477899656
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKE URGENT CARE ASCENSION LLC
Location Address1702 N BURNSIDE AVEGonzales, LA 70737-2141
Mailing AddressPo Box 679641Dallas, TX 75267-9641
Organization SubpartNo
Authorized OfficialSteve SellarsPresident · (225) 214-9353
Enumeration DateDecember 17, 2012
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1477899656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1702 N BURNSIDE AVE, Gonzales, LA 70737

Other Names 1

Doing Business AsLake Urgent Care - Gonzales

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Urgent Care - Gonzales is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

92

Medicare enrollment records show 92 clinicians reassign Medicare billing to Lake Urgent Care - Gonzales, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner55
Family Practice21
Internal Medicine8
Emergency Medicine3
General Practice2
Cardiac Electrophysiology1
General Surgery1
Pediatric Medicine1

Nearest to this location (20)

See all 92
Family Practice
NPI 1477728947
1702 NORTH BURNSIDE AVE
Baton Rouge, LA 70769
(225) 647-4988
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144575432
1014 SAINT CLAIR BLVD
Gonzales, LA 70737
(225) 765-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1568455905
1014 SAINT CLAIR BLVD
Gonzales, LA 70737
(225) 765-5500
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1477895225
2400 S BURNSIDE AVE
Gonzales, LA 70737
(225) 709-2410
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1053729913
2524 S PHILIPPE AVE
Gonzales, LA 70737
(225) 644-1990
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1750729836
1125 W HIGHWAY 30
Gonzales, LA 70737
(225) 647-5000
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1376743427
2647 S SAINT ELIZABETH BLVD STE 219
Gonzales, LA 70737
(225) 765-5500
✔ PECOS✔ Accepts Medicare2.8 mi
Family Practice
NPI 1790983807
2647 S SAINT ELIZABETH BLVD
Gonzales, LA 70737
(225) 647-8511
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1699341834
10714 HIGHWAY 431
Saint Amant, LA 70774
(225) 644-0005
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1669471207
14225 HIGHWAY 73
Prairieville, LA 70769
(225) 765-5500
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1841713716
14350 HIGHWAY 73
Prairieville, LA 70769
(225) 313-3930
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1760722854
14350 HIGHWAY 73
Prairieville, LA 70769
(225) 313-3930
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1306519517
14350 HIGHWAY 73
Prairieville, LA 70769
(225) 313-3930
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1114367190
14350 LA HIGHWAY 73
Prairieville, LA 70769
(225) 313-3930
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1750316758
40546 HIGHWAY 42
Prairieville, LA 70769
(225) 744-4988
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1356516157
40546 HIGHWAY 42
Prairieville, LA 70769
(225) 744-4988
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1891866737
40546 HIGHWAY 42
Prairieville, LA 70769
(225) 744-4988
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1225026529
17520 OLD JEFFERSON HWY STE B
Prairieville, LA 70769
(225) 673-8983
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1700884830
17609 OLD JEFFERSON HWY
Prairieville, LA 70769
(225) 647-8511
✔ PECOS✔ Accepts Medicare6.4 mi
General Practice
NPI 1508859042
17609 OLD JEFFERSON HWY STE D
Prairieville, LA 70769
(225) 765-5500
✔ PECOS✔ Accepts Medicare6.4 mi
See all 92 clinicians

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 19D2054102

Lake Urgent Care - Gonzales · Gonzales, LA
Active · expires Feb 12, 2027
CLIA Number19D2054102
Laboratory TypeUrgent Care Walk-In
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorKevin Dibenedetto
Laboratory Phone(225) 647-4988
Laboratory LocationLake Urgent Care - Gonzales1776 N Airline Hwy, Suite A, Gonzales, LA 70737
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Lake Urgent Care Ascension LLC's NPI number?

The NPI number for Lake Urgent Care Ascension LLC is 1477899656. It was assigned to this organization in the NPPES registry on December 17, 2012. The provider is doing business as Lake Urgent Care - Gonzales.

Where is Lake Urgent Care Ascension LLC located?

Lake Urgent Care Ascension LLC is located at 1702 N Burnside Ave, Gonzales, LA 70737. The listed phone number is (225) 647-4988.

What is Lake Urgent Care Ascension LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Lake Urgent Care Ascension LLC enrolled in Medicare?

Yes. Lake Urgent Care Ascension LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Urgent Care Ascension LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 8 Medicare specialties reassign their Medicare billing to Lake Urgent Care Ascension 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. The largest specialties are Nurse Practitioner (55), Family Practice (21) and Internal Medicine (8). Of these, 1 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lake Urgent Care Ascension LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2054102) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Urgent Care Ascension LLC was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.