NORTHERN LAKES SURGERY CENTER LLC
NPI 1942914049
Anesthesiology in Moose Lake, MN
About Northern Lakes Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN LAKES SURGERY CENTER LLC (NPI 1942914049) is a healthcare organization registered as an anesthesiology in Moose Lake, Minnesota and active in the NPI registry since January 2023. The organization lists Lori Peck, Svp- Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northern Lakes Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Northern Lakes Surgery Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
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 Northern Lakes Surgery Center LLC's NPI number?
The NPI number for Northern Lakes Surgery Center LLC is 1942914049. It was assigned to this organization in the NPPES registry on January 12, 2023.
Where is Northern Lakes Surgery Center LLC located?
Northern Lakes Surgery Center LLC is located at 4791 County Road 10, Moose Lake, MN 55767. The listed phone number is (218) 249-5555.
What is Northern Lakes Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Northern Lakes Surgery Center LLC enrolled in Medicare?
Yes. Northern Lakes Surgery Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northern Lakes Surgery Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Northern Lakes Surgery Center 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (8), General Surgery (2) and Orthopedic Surgery (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northern Lakes Surgery Center LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Northern Lakes Surgery Center Llc · NPI 1942914049
Anesthesiology organization in Moose Lake, Minnesota. Organization record, active in the CMS NPPES registry since January 12, 2023.
## Identity
- **NPI:** 1942914049 (Entity type: Organization)
- **Enumerated:** January 12, 2023
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Also known as:** NORTHERN LAKES SURGERY CENTER LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lori Peck, SVP- CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 4791 COUNTY ROAD 10, Moose Lake, MN 55767-9221
- **Phone:** (218) 249-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (8), General Surgery (2), Orthopedic Surgery (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942914049) · Data from the CMS NPPES public registry.