LAKE EFFECT HEALTH
NPI 1780156984
Nurse Practitioner in Cleveland, OH
About Lake Effect Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE EFFECT HEALTH (NPI 1780156984) is a healthcare organization registered as a nurse practitioner in Cleveland, Ohio and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through January 23, 2027, maintains a secondary practice location in Brooklyn, and lists Seana Rutherford, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 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)
Lake Effect Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Lake Effect Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
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
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 36D2161020
Lake Effect Health LLC · Cleveland, OHFrequently 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 Effect Health's NPI number?
The NPI number for Lake Effect Health is 1780156984. It was assigned to this organization in the NPPES registry on December 28, 2018.
Where is Lake Effect Health located?
Lake Effect Health is located at 3611 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (440) 289-7584.
What is Lake Effect Health's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Lake Effect Health enrolled in Medicare?
Yes. Lake Effect Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Effect Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Effect Health. 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 (12) and Family Practice (1). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Effect Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2161020) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Effect Health accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lake Effect Health 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 Lake Effect Health was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Effect Health · NPI 1780156984
Nurse Practitioner organization in Cleveland, Ohio. Organization record, active in the CMS NPPES registry since December 28, 2018.
## Identity
- **NPI:** 1780156984 (Entity type: Organization)
- **Enumerated:** December 28, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Seana Rutherford, OWNER/OPERATOR
## Practice location
- **Address:** 3611 PROSPECT AVE E, Cleveland, OH 44115-2703
- **Phone:** (440) 289-7584 · **Fax:** (216) 331-6751
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (1); 1 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2024
- **Other identifiers:** Medicaid 0142912 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780156984) · Data from the CMS NPPES public registry.