Lake Girl, Inc
NPI 1255730446 · Primary Care Clinic/Center · House Springs, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Girl, Inc is a Primary Care Clinic/Center organization in House Springs, MO (NPI 1255730446).
Provider details
- NPI number
- 1255730446
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renee Willer, Owner(314) 322-7017
- License
- 138512 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Hometown Family Medicine
- Doing business as
- Hometown Family Medicine
Registry dates
- Enumerated
- 2014-08-14
- Last updated
- 2023-12-21
- Certified
- 2023-12-21
Frequently asked questions
- What is Lake Girl, Inc's NPI number?
- Lake Girl, Inc's National Provider Identifier (NPI) is 1255730446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Girl, Inc?
- Lake Girl, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Girl, Inc located?
- Lake Girl, Inc's practice location on file with NPPES is 4581 Gravois Rd, House Springs, MO 63051-1374.
- What is Lake Girl, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Girl, Inc is (636) 671-9980.
- Does Lake Girl, Inc accept Medicare?
- Lake Girl, Inc 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 Lake Girl, Inc?
- The authorized official listed on Lake Girl, Inc's NPPES record is Renee Willer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Girl, Inc's NPI active?
- Yes — Lake Girl, Inc's NPI (1255730446) is active in the NPPES registry as of the last update on 2023-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.