LAKESHORE CONCIERGE MEDICINE PLLC
NPI 1619560026
Family Medicine in Norton Shores, MI

Active since February 17, 2021
1450 FARR RD, NORTON SHORES, MI 49444(231) 638-1414 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeshore Concierge Medicine Pllc NPPES

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

LAKESHORE CONCIERGE MEDICINE PLLC (NPI 1619560026) is a healthcare organization registered as a family medicine in Norton Shores, Michigan and active in the NPI registry since February 2021. The organization lists Todd W Rexford, Owner, as its authorized official.

NPPES Registry Identity

NPI1619560026
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE CONCIERGE MEDICINE PLLC
Location Address1450 FARR RDNorton Shores, MI 49444-9770
Mailing Address1361 Forest Park RdNorton Shores, MI 49441-4638 · (231) 638-1414
Organization SubpartNo
Authorized OfficialTodd W RexfordOwner · (231) 638-1414
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1619560026 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.
1450 FARR RD, Norton Shores, MI 49444

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

Accepted 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)

Lakeshore Concierge Medicine Pllc 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 Lakeshore Concierge Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1740284330
1450 FARR RD STE 2000
Norton Shores, MI 49444
(231) 638-1414
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255999751
5550 S EAST ST STE C
Indianapolis, IN 46227
(317) 534-4660
✔ PECOS238 mi

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 Lakeshore Concierge Medicine PLLC's NPI number?

The NPI number for Lakeshore Concierge Medicine PLLC is 1619560026. It was assigned to this organization in the NPPES registry on February 17, 2021.

Where is Lakeshore Concierge Medicine PLLC located?

Lakeshore Concierge Medicine PLLC is located at 1450 Farr Rd, Norton Shores, MI 49444. The listed phone number is (231) 638-1414.

What is Lakeshore Concierge Medicine PLLC's specialty?

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

Is Lakeshore Concierge Medicine PLLC enrolled in Medicare?

Yes. Lakeshore Concierge Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Concierge Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Lakeshore Concierge Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeshore Concierge Medicine PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Concierge Medicine PLLC 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 Lakeshore Concierge Medicine PLLC was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.