LAKE REGIONAL MEDICAL GROUP
NPI 1639134158
Clinic/Center - Multi-Specialty in Osage Beach, MO
About Lake Regional Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE REGIONAL MEDICAL GROUP (NPI 1639134158) is a healthcare organization registered as a multi-specialty in Osage Beach, Missouri and active in the NPI registry since April 2006. The organization lists Kevin Mcroberts, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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)
Lake Regional Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Lake Regional Medical Group, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 41Source: 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 Regional Medical Management, Inc.'s NPI number?
The NPI number for Lake Regional Medical Management, Inc. is 1639134158. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Lake Regional Medical Group.
Where is Lake Regional Medical Management, Inc. located?
Lake Regional Medical Management, Inc. is located at 54 Hospital Dr, Osage Beach, MO 65065. The listed phone number is (573) 348-8074.
What is Lake Regional Medical Management, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Lake Regional Medical Management, Inc. enrolled in Medicare?
Yes. Lake Regional Medical Management, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Regional Medical Management, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 17 Medicare specialties reassign their Medicare billing to Lake Regional Medical Management, Inc.. 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 (11), Orthopedic Surgery (7) and Cardiovascular Disease (Cardiology) (3). Of these, 16 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Regional Medical Management, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Lake Regional Medical Management, Inc. 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 Regional Medical Management, Inc. was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lake Regional Medical Group · NPI 1639134158
Multi-Specialty organization in Osage Beach, Missouri. Organization record, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1639134158 (Entity type: Organization)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Lake Regional Medical Management, Inc.
- **Organization subpart:** No
- **Authorized official:** Kevin Mcroberts, CEO
## Practice location
- **Address:** 54 HOSPITAL DR, Osage Beach, MO 65065-3050
- **Phone:** (573) 348-8074 · **Fax:** (573) 348-8069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Orthopedic Surgery (7), Cardiovascular Disease (Cardiology) (3); 16 practice at this address and 29 within 10 miles; [full list](https://npiprofile.com/npi/1639134158/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2024
- **Other identifiers:** Medicaid 501945604 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1639134158) · Data from the CMS NPPES public registry.