Medina Lake Clinic PA
NPI 1811274525 · Family Medicine Physician · Lakehills, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medina Lake Clinic PA is a Family Medicine Physician organization in Lakehills, TX (NPI 1811274525).
Provider details
- NPI number
- 1811274525
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shelly Kohlleppel, Owner(830) 751-3330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-11-09
- Last updated
- 2012-03-13
Frequently asked questions
- What is Medina Lake Clinic PA's NPI number?
- Medina Lake Clinic PA's National Provider Identifier (NPI) is 1811274525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medina Lake Clinic PA?
- Medina Lake Clinic PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Medina Lake Clinic PA located?
- Medina Lake Clinic PA's practice location on file with NPPES is 146 Laurel Vista Dr, Lakehills, TX 78063-6389.
- What is Medina Lake Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Medina Lake Clinic PA is (713) 292-6959.
- Does Medina Lake Clinic PA accept Medicare?
- Medina Lake Clinic PA 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 Medina Lake Clinic PA?
- The authorized official listed on Medina Lake Clinic PA's NPPES record is Shelly Kohlleppel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medina Lake Clinic PA's NPI active?
- Yes — Medina Lake Clinic PA's NPI (1811274525) is active in the NPPES registry as of the last update on 2012-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.