LAKE MEDICAL CENTER PLLC
NPI 1699198903
Nurse Practitioner - Family in Belle Glade, FL

NPI Status: Active since January 23, 2014

Contact Information

425 SE 2ND ST
BELLE GLADE, FL
ZIP 33430
Phone: (561) 992-0508
Fax: (561) 992-0510

Get Directions Write a Review

  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 10D2006348
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-18-2028

About LAKE MEDICAL CENTER PLLC

This page provides the complete NPI Profile along with additional information for Lake Medical Center Pllc, a provider established in Belle Glade, Florida operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1699198903 assigned on January 2014. The practitioner's primary taxonomy code is 363LF0000X with license number ARNP1951902 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Susan Mcmillan Arnp (Nurse Practioneer)

NPI
1699198903
Provider Name
LAKE MEDICAL CENTER PLLC
Entity Type
Organization
Location Address
425 SE 2ND ST BELLE GLADE, FL 33430
Location Phone
(561) 992-0508
Location Fax
(561) 992-0510
Mailing Address
425 SE 2ND ST BELLE GLADE, FL 33430
Mailing Phone
(561) 992-0508
Mailing Fax
(561) 992-0510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2014
Last Update Date
04-13-2014
Code Navigator

A nurse practitioner (NP) like Lake Medical Center Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ARNP1951902
License State
FL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN MCMILLAN ARNP

Authorized Official Title
NURSE PRACTIONEER
Authorized Official Phone
(561) 992-0508

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HS692AMEDICARE PIN (08)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2006348
Facility Type
Practitioner Other
Certificate Effective Date
April 19, 2026
Certificate Expiration Date
April 18, 2028
Laboratory Director
SUSAN S. MCMILLAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Medical Center Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LAKE MEDICAL CENTER PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699198903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 2 + 9 + 1 + 6 + 9 + 0 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1699198903.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699198903, enumerated as an "organization" on January 23, 2014.

The provider is located at 425 SE 2ND ST BELLE GLADE, FL 33430 and the phone number is (561) 992-0508.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.