Lakeshore Medical Clinic, LLC
NPI 1003861188 · Family Medicine Physician · Saint Francis, WI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeshore Medical Clinic, LLC is a Family Medicine Physician organization in Saint Francis, WI (NPI 1003861188).
Provider details
- NPI number
- 1003861188
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kara Richardson, Assistant Treasurer(704) 631-0450
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Lakeshore Medical Clinic, LLC's NPI number?
- Lakeshore Medical Clinic, LLC's National Provider Identifier (NPI) is 1003861188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Medical Clinic, LLC?
- Lakeshore Medical Clinic, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Medical Clinic, LLC located?
- Lakeshore Medical Clinic, LLC's practice location on file with NPPES is 2000 E Layton Ave Ste 100, Saint Francis, WI 53235-6054.
- What is Lakeshore Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Medical Clinic, LLC is (414) 744-6589.
- Does Lakeshore Medical Clinic, LLC accept Medicare?
- Lakeshore Medical Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeshore Medical Clinic, LLC?
- The authorized official listed on Lakeshore Medical Clinic, LLC's NPPES record is Kara Richardson, Assistant Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Medical Clinic, LLC's NPI active?
- Yes — Lakeshore Medical Clinic, LLC's NPI (1003861188) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.