LAKE CITY PRIMARY CARE
NPI 1952896151
Clinic/Center - Rural Health in Lake City, MI
About Lake City Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CITY PRIMARY CARE (NPI 1952896151) is a healthcare organization registered as a rural health in Lake City, Michigan and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Jason Ball, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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 City Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lake City Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 23D2158969
Lake City Primary Care · Lake City, MIFrequently 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 City Primary Care PC's NPI number?
The NPI number for Lake City Primary Care PC is 1952896151. It was assigned to this organization in the NPPES registry on June 29, 2018. The provider is doing business as Lake City Primary Care.
Where is Lake City Primary Care PC located?
Lake City Primary Care PC is located at 1866 S Morey Rd, Lake City, MI 49651. The listed phone number is (231) 908-8888.
What is Lake City Primary Care PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Lake City Primary Care PC enrolled in Medicare?
Yes. Lake City Primary Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake City Primary Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lake City Primary Care PC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake City Primary Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2158969) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake City Primary Care PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lake City Primary Care PC 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 City Primary Care PC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 City Primary Care · NPI 1952896151
Rural Health organization in Lake City, Michigan. Organization record, active in the CMS NPPES registry since June 29, 2018.
## Identity
- **NPI:** 1952896151 (Entity type: Organization)
- **Enumerated:** June 29, 2018
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Lake City Primary Care Pc
- **Organization subpart:** No
- **Authorized official:** Jason Ball, OFFICE MANAGER
## Practice location
- **Address:** 1866 S MOREY RD, Lake City, MI 49651
- **Phone:** (231) 908-8888 · **Fax:** (833) 989-2153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2022
- **Other identifiers:** Medicaid 238938 (MI); Medicaid MI12315 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952896151) · Data from the CMS NPPES public registry.