GREAT LAKES ANESTHESIA, P.C.
NPI 1720039977
Anesthesiology in Elkhart, IN
About Great Lakes Anesthesia, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES ANESTHESIA, P.C. (NPI 1720039977) is a healthcare organization registered as an anesthesiology in Elkhart, Indiana and active in the NPI registry since May 2006. The organization lists Seth Claxton, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Great Lakes Anesthesia, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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
76Medicare enrollment records show 76 clinicians reassign Medicare billing to Great Lakes Anesthesia, P.C., which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 76South Bend, IN 46617
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 Great Lakes Anesthesia, P.C.'s NPI number?
The NPI number for Great Lakes Anesthesia, P.C. is 1720039977. It was assigned to this organization in the NPPES registry on May 12, 2006.
Where is Great Lakes Anesthesia, P.C. located?
Great Lakes Anesthesia, P.C. is located at 700 E Beardsley Ave Ste 209, Elkhart, IN 46514. The listed phone number is (574) 522-9922.
What is Great Lakes Anesthesia, P.C.'s specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Great Lakes Anesthesia, P.C. enrolled in Medicare?
Yes. Great Lakes Anesthesia, P.C. is registered in the Medicare PECOS enrollment system.
When is Great Lakes Anesthesia, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Great Lakes Anesthesia, P.C. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice). 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 Great Lakes Anesthesia, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Lakes Anesthesia, P.C.. 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 Certified Registered Nurse Anesthetist (CRNA) (65) and Anesthesiology (11). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Anesthesia, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Great Lakes Anesthesia, P.C. 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 Great Lakes Anesthesia, P.C. was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Great Lakes Anesthesia, P.c. · NPI 1720039977
Anesthesiology organization in Elkhart, Indiana. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1720039977 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Seth Claxton, CEO
## Practice location
- **Address:** 700 E BEARDSLEY AVE STE 209, Elkhart, IN 46514-3371
- **Phone:** (574) 522-9922 · **Fax:** (574) 522-9926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 76 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (65), Anesthesiology (11); 18 practice within 10 miles; [full list](https://npiprofile.com/npi/1720039977/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2024
- **Other identifiers:** Medicaid 200250870 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1720039977) · Data from the CMS NPPES public registry.