LAKESIDE MEDICINE AND AESTHETICS LLC
NPI 1851873756
Nurse Practitioner - Primary Care in Sandpoint, ID
About Lakeside Medicine And Aesthetics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE MEDICINE AND AESTHETICS LLC (NPI 1851873756) is a healthcare organization registered as a primary care in Sandpoint, Idaho and active in the NPI registry since September 2018. The organization lists Kelly Fuhrman, Owner/np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 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)
Lakeside Medicine And Aesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Medicine And Aesthetics LLC, 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.
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 13D2156095
Lakeside Medicine · Sandpoint, IDFrequently 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 Lakeside Aesthetics - LLC's NPI number?
The NPI number for Lakeside Aesthetics - LLC is 1851873756. It was assigned to this organization in the NPPES registry on September 6, 2018. The provider is doing business as Lakeside Medicine And Aesthetics LLC.
Where is Lakeside Aesthetics - LLC located?
Lakeside Aesthetics - LLC is located at 1005 Highway 2, Sandpoint, ID 83864. The listed phone number is (208) 290-3302.
What is Lakeside Aesthetics - LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lakeside Aesthetics - LLC enrolled in Medicare?
Yes. Lakeside Aesthetics - LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Aesthetics - LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lakeside Aesthetics - LLC. 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.
What insurance does Lakeside Aesthetics - LLC accept?
Health plans from Molina Healthcare list Lakeside Aesthetics - LLC 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 Lakeside Aesthetics - LLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lakeside Medicine And Aesthetics Llc · NPI 1851873756
Primary Care organization in Sandpoint, Idaho. Organization record, active in the CMS NPPES registry since September 6, 2018.
## Identity
- **NPI:** 1851873756 (Entity type: Organization)
- **Enumerated:** September 6, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Lakeside Aesthetics - Llc
- **Organization subpart:** No
- **Authorized official:** Kelly Fuhrman, OWNER/NP
## Practice location
- **Address:** 1005 HIGHWAY 2, Sandpoint, ID 83864-1702
- **Phone:** (208) 290-3302
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** March 6, 2019
- **Other identifiers:** Other NP1029A (ID)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1851873756) · Data from the CMS NPPES public registry.