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LAKESHORE ALLERGY PC
NPI 1639108863
Allergy & Immunology - Allergy in Holland, MI

Active since July 01, 2006
3290 N WELLNESS, BLDG D STE 180, HOLLAND, MI 49424(616) 738-4262(616) 738-4266 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeshore Allergy Pc NPPES

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

LAKESHORE ALLERGY PC (NPI 1639108863) is a healthcare organization registered as an allergy in Holland, Michigan and active in the NPI registry since July 2006. The organization lists Julie Ann Hutson, Owner Operator Physician, as its authorized official.

NPPES Registry Identity

NPI1639108863
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameLAKESHORE ALLERGY PC
Location Address3290 N WELLNESS, BLDG D STE 180Holland, MI 49424
Mailing Address3290 N Wellness, Bldg D Ste 180Holland, MI 49424 · (616) 738-4262 · Fax (616) 738-4266
Phone(616) 738-4262
Fax(616) 738-4266
Organization SubpartNo
Authorized OfficialJulie Ann HutsonOwner Operator Physician · (616) 738-4262
Enumeration DateJuly 1, 2006
Last NPPES UpdateFebruary 27, 2012
✔ NPI 1639108863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in MI · 4301051148
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
3290 N WELLNESS, Holland, MI 49424
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Other Identifiers 4

Medicaid4604806MI
Other0030084Bcbs
OtherP105210Bluech
Medicare UPINON10600

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Allergy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lakeshore Allergy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Julie Hutson, M.D.
Allergy/Immunology
NPI 1003039199
3290 N WELLNESS DR STE 180
Holland, MI 49424
(616) 738-4262
✔ PECOS✔ Accepts MedicareSame address
Sarah Leo, DO
Allergy/Immunology
NPI 1528564408
3290 N WELLNESS DR STE 180
Holland, MI 49424
(616) 738-4262
✔ PECOS✔ Accepts MedicareSame address
Angela Reed, NP
Nurse Practitioner
NPI 1871533166
803 W ARLINGTON ST BANGOR HEALTH CENTER
Bangor, MI 49013
(269) 427-6810
✔ PECOS36 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 Allergy PC's NPI number?

The NPI number for Lakeshore Allergy PC is 1639108863. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Lakeshore Allergy PC located?

Lakeshore Allergy PC is located at 3290 N Wellness Bldg D Ste 180, Holland, MI 49424. The listed phone number is (616) 738-4262.

What is Lakeshore Allergy PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Lakeshore Allergy PC enrolled in Medicare?

Yes. Lakeshore Allergy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Allergy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lakeshore Allergy PC, in Allergy/Immunology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeshore Allergy PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Allergy PC 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 Allergy PC was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.