NORTHSHORE EDISON SENIOR HIGH SCHOOL
NPI 1972895647
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Station, IN
About Northshore Edison Senior High School NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSHORE EDISON SENIOR HIGH SCHOOL (NPI 1972895647) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Station, Indiana and active in the NPI registry since May 2011. The organization lists David Hall, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
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)
Northshore Edison Senior High School is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
134Medicare enrollment records show 134 clinicians reassign Medicare billing to Northshore Edison Senior High School, which bills Medicare for the services they deliver. Of these, 42 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 134Source: 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 Northshore Health Centers, Inc.'s NPI number?
The NPI number for Northshore Health Centers, Inc. is 1972895647. It was assigned to this organization in the NPPES registry on May 12, 2011. The provider is doing business as Northshore Edison Senior High School.
Where is Northshore Health Centers, Inc. located?
Northshore Health Centers, Inc. is located at 3304 Parkside Ave, Lake Station, IN 46405. The listed phone number is (219) 763-8112.
What is Northshore Health Centers, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Northshore Health Centers, Inc. enrolled in Medicare?
Yes. Northshore Health Centers, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northshore Health Centers, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 17 Medicare specialties reassign their Medicare billing to Northshore Health Centers, Inc.. 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 (36), Pediatric Medicine (20) and Obstetrics/Gynecology (16). Of these, 42 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northshore Health Centers, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Northshore Health Centers, Inc. 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 Northshore Health Centers, Inc. was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Northshore Edison Senior High School · NPI 1972895647
Federally Qualified Health Center (FQHC) organization in Lake Station, Indiana. Organization record, active in the CMS NPPES registry since May 12, 2011.
## Identity
- **NPI:** 1972895647 (Entity type: Organization)
- **Enumerated:** May 12, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northshore Health Centers, Inc.
- **Organization subpart:** No
- **Authorized official:** David Hall, CEO
## Practice location
- **Address:** 3304 PARKSIDE AVE, Lake Station, IN 46405-1143
- **Phone:** (219) 763-8112 · **Fax:** (219) 962-1860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 134 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Pediatric Medicine (20), Obstetrics/Gynecology (16); 42 practice within 10 miles; [full list](https://npiprofile.com/npi/1972895647/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2020
- **Other identifiers:** Other 191360 (IN); Other 151874 (IN); Medicaid 200331170F (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1972895647) · Data from the CMS NPPES public registry.