LAKE MEDICAL CENTER PLLC
NPI 1699198903
Nurse Practitioner - Family in Belle Glade, FL
About Lake Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE MEDICAL CENTER PLLC (NPI 1699198903) is a healthcare organization registered as a family in Belle Glade, Florida and active in the NPI registry since January 2014. The organization lists Susan Mcmillan, Nurse Practioneer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Medical Center PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lake Medical Center PLLC's NPI number?
The NPI number for Lake Medical Center PLLC is 1699198903. It was assigned to this organization in the NPPES registry on January 23, 2014.
Where is Lake Medical Center PLLC located?
Lake Medical Center PLLC is located at 425 SE 2nd St, Belle Glade, FL 33430. The listed phone number is (561) 992-0508.
What is Lake Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lake Medical Center PLLC enrolled in Medicare?
Yes. Lake Medical Center PLLC is registered in the Medicare PECOS enrollment system.
When is Lake Medical Center PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lake Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lake Medical Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Medical Center PLLC was last updated on April 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 Medical Center Pllc · NPI 1699198903
Family organization in Belle Glade, Florida. Organization record, active in the CMS NPPES registry since January 23, 2014.
## Identity
- **NPI:** 1699198903 (Entity type: Organization)
- **Enumerated:** January 23, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Susan Mcmillan, NURSE PRACTIONEER
## Practice location
- **Address:** 425 SE 2ND ST, Belle Glade, FL 33430-3511
- **Phone:** (561) 992-0508 · **Fax:** (561) 992-0510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2014
- **Other identifiers:** Medicare PIN HS692A (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1699198903) · Data from the CMS NPPES public registry.