LAKELAND IMMEDIATE CARE CENTER
NPI 1760802912
Clinic/Center - Federally Qualified Health Center (FQHC) in Niles, MI
About Lakeland Immediate Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKELAND IMMEDIATE CARE CENTER (NPI 1760802912), doing business as Niles Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Niles, Michigan and active in the NPI registry since April 2014. The organization lists Joseph Gavan, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Lakeland Immediate Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Lakeland Immediate Care Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 33Source: 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 Lakeland Immediate Care Center's NPI number?
The NPI number for Lakeland Immediate Care Center is 1760802912. It was assigned to this organization in the NPPES registry on April 25, 2014. The provider is doing business as Niles Community Health Center.
Where is Lakeland Immediate Care Center located?
Lakeland Immediate Care Center is located at 1951 Oak St, Niles, MI 49120. The listed phone number is (269) 262-4749.
What is Lakeland Immediate Care Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Lakeland Immediate Care Center enrolled in Medicare?
Yes. Lakeland Immediate Care Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeland Immediate Care Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 8 Medicare specialties reassign their Medicare billing to Lakeland Immediate Care Center. 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 Nurse Practitioner (13), Family Practice (7) and Clinical Social Worker (4). Of these, 7 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeland Immediate Care Center accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeland Immediate Care Center 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 Lakeland Immediate Care Center was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lakeland Immediate Care Center · NPI 1760802912
Federally Qualified Health Center (FQHC) organization in Niles, Michigan. Organization record, active in the CMS NPPES registry since April 25, 2014.
## Identity
- **NPI:** 1760802912 (Entity type: Organization)
- **Enumerated:** April 25, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Niles Community Health Center (Doing Business As)
- **Organization subpart:** Yes (part of Lakeland Immediate Care Center)
- **Authorized official:** Joseph Gavan, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1951 OAK ST, Niles, MI 49120-3738
- **Phone:** (269) 262-4749 · **Fax:** (269) 262-4739
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (7), Clinical Social Worker (4); 7 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1760802912/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760802912) · Data from the CMS NPPES public registry.