LAKE INTERNAL MEDICINE ASSOCIATES
NPI 1679595649
Nurse Practitioner - Family in Eustis, FL
About Lake Internal Medicine Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE INTERNAL MEDICINE ASSOCIATES (NPI 1679595649) is a healthcare organization registered as a family in Eustis, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Bonnie L Demuth, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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 Internal Medicine Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lake Internal Medicine Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 10D0681600
Lake Internal Medicine Associates PA · Eustis, FLFrequently 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 Internal Medicine Associates's NPI number?
The NPI number for Lake Internal Medicine Associates is 1679595649. It was assigned to this organization in the NPPES registry on July 25, 2006.
Where is Lake Internal Medicine Associates located?
Lake Internal Medicine Associates is located at 2101 Prevatt St, Eustis, FL 32726. The listed phone number is (352) 589-4774.
What is Lake Internal Medicine Associates's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lake Internal Medicine Associates enrolled in Medicare?
Yes. Lake Internal Medicine Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Internal Medicine Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lake Internal Medicine Associates. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Internal Medicine Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0681600) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Internal Medicine Associates accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lake Internal Medicine Associates 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 Internal Medicine Associates was last updated on September 19, 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 Internal Medicine Associates · NPI 1679595649
Family organization in Eustis, Florida. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1679595649 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Bonnie Demuth, PRACTICE MANAGER
## Practice location
- **Address:** 2101 PREVATT ST, Eustis, FL 32726-6131
- **Phone:** (352) 589-4774 · **Fax:** (352) 589-5092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679595649) · Data from the CMS NPPES public registry.