NORTHLAKES COMMUNITY CLINIC
NPI 1679983423
Clinic/Center - Federally Qualified Health Center (FQHC) in White Lake, WI

Active since May 02, 2014CLIA Certified · 2 labs
524 BISSELL STREET, WHITE LAKE, WI 54491(715) 882-2353(715) 882-2355 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2023, Mar 19, 2019 (2 updates tracked since 2019).

About Northlakes Community Clinic NPPES

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

NORTHLAKES COMMUNITY CLINIC (NPI 1679983423) is a healthcare organization registered as a federally qualified health center (fqhc) in White Lake, Wisconsin and active in the NPI registry since May 2014. The organization holds 2 active CLIA laboratory certificates and lists Rebecca Rice, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679983423
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE LAKES COMMUNITY HEALTH CENTER, INC
Location Address524 BISSELL STREETWhite Lake, WI 54491
Mailing Address15735 W Us Highway 63Hayward, WI 54843-6475 · (715) 934-0710 · Fax (715) 598-4881
Fax(715) 882-2355
Organization SubpartNo
Authorized OfficialRebecca RiceCeo · (715) 372-5001
Enumeration DateMay 2, 2014
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1679983423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
524 BISSELL STREET, White Lake, WI 54491

Other Names 1

Doing Business AsNorthlakes Community Clinic

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)

Northlakes Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

118

Medicare enrollment records show 118 clinicians reassign Medicare billing to Northlakes Community Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Mental Health Counselor35
Nurse Practitioner18
Chiropractic15
Optometry14
Clinical Social Worker10
Family Practice9
Physical Therapist in Private Practice5
Marriage and Family Therapist4
4 other specialties8

Nearest to this location (20)

See all 118
Mental Health Counselor
NPI 1295471357
15397 STATE HIGHWAY 32
Lakewood, WI 54138
(715) 276-6321
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1427345339
15397 WI 32
Lakewood, WI 54138
(715) 276-6321
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1134807027
15397 STATE HIGHWAY 32
Lakewood, WI 54138
(715) 715-2766
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1841181492
15397 WI-32
Lakewood, WI 54138
(715) 276-6321
✔ PECOS✔ Accepts Medicare15 mi
Chiropractic
NPI 1174830244
15267 STATE HWY. 32
Lakewood, WI 54138
(715) 276-3401
✔ Accepts Medicare15 mi
Clinical Psychologist
NPI 1821313859
1225 LANGLADE RD
Antigo, WI 54409
(715) 627-6694
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1881602761
5409 EVERYBODY'S ROAD FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER
Crandon, WI 54520
(715) 478-4300
✔ PECOS✔ Accepts Medicare29 mi
Clinical Social Worker
NPI 1316742141
155 MEMORIAL DR
Oconto, WI 54153
(920) 516-7107
✔ PECOS✔ Accepts Medicare47 mi
Optometry
NPI 1669360780
155 MEMORIAL DR
Oconto, WI 54153
(920) 516-7107
✔ PECOS✔ Accepts Medicare47 mi
Mental Health Counselor
NPI 1326213976
2945 SHAWANO AVENUE
Green Bay, WI 54305
(920) 436-6800
✔ PECOS✔ Accepts Medicare53 mi
Chiropractic
NPI 1699395855
1435 CLEVELAND AVE
Marinette, WI 54143
(888) 834-4551
✔ Accepts Medicare56 mi
Mental Health Counselor
NPI 1235228586
MARINETTE COUNTY HEALTH AND HUMAN SERVICES 1201 JACKSON ST
Marinette, WI 54151
(715) 732-7760
✔ PECOS✔ Accepts Medicare57 mi
Family Practice
NPI 1265434849
1711 S STEPHENSON AVE SUITE 300
Iron Mountain, MI 49801
(906) 774-1633
✔ PECOS✔ Accepts Medicare57 mi
Mental Health Counselor
NPI 1447461975
3860 MONROE RD
De Pere, WI 54115
(920) 496-4700
✔ PECOS✔ Accepts Medicare62 mi
Physical Therapist in Private Practice
NPI 1609981133
212 E UPHAM
Marshfield, WI 54449
(715) 221-8760
✔ Accepts Medicare76 mi
Chiropractic
NPI 1538656269
500 BIRCH ST
Park Falls, WI 54552
(715) 762-2950
✔ Accepts Medicare98 mi
Chiropractic
NPI 1285196162
110 2ND AVE N
Park Falls, WI 54552
(715) 762-2950
✔ Accepts Medicare98 mi
Chiropractic
NPI 1437894953
110 2ND AVE N
Park Falls, WI 54552
(715) 762-2950
✔ Accepts Medicare98 mi
Clinical Social Worker
NPI 1073750774
103 W US HIGHWAY 2
Wakefield, MI 49968
(906) 229-6120
✔ PECOS✔ Accepts Medicare107 mi
Mental Health Counselor
NPI 1245695899
115 5TH AVE N
Hurley, WI 54534
(715) 329-1288
✔ PECOS✔ Accepts Medicare113 mi
See all 118 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 2

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 52D2081335

Northlakes Community Clinic White Lake · White Lake, WI
Active · expires Jul 22, 2028
CLIA Number52D2081335
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorDr. Deb Dryer
Laboratory Phone(715) 882-2353
Laboratory LocationNorthlakes Community Clinic White Lake524 Bissell Street, White Lake, WI 54491
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2187635

Northlakes Community Clinic · Turtle Lake, WI
Active · expires Jul 5, 2028
CLIA Number52D2187635
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorDr. Deborah Dryer
Laboratory Phone(715) 372-5001
Laboratory LocationNorthlakes Community Clinic730 Swede Avenue, Turtle Lake, WI 54889
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 The Lakes Community Health Center, Inc's NPI number?

The NPI number for The Lakes Community Health Center, Inc is 1679983423. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is doing business as Northlakes Community Clinic.

Where is The Lakes Community Health Center, Inc located?

The Lakes Community Health Center, Inc is located at 524 Bissell Street, White Lake, WI 54491. The listed phone number is (715) 882-2353.

What is The Lakes Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is The Lakes Community Health Center, Inc enrolled in Medicare?

Yes. The Lakes Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Lakes Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 118 clinicians in 12 Medicare specialties reassign their Medicare billing to The Lakes Community Health Center, 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 Mental Health Counselor (35), Nurse Practitioner (18) and Chiropractic (15). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Lakes Community Health Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does The Lakes Community Health Center, Inc accept?

Health plans from Aspirus Health Plan list The Lakes Community Health Center, 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 The Lakes Community Health Center, Inc was last updated on October 13, 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.