Northern Lakes Surgery Center LLC
NPI 1942914049 · Anesthesiology Physician · Moose Lake, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Lakes Surgery Center LLC is a Anesthesiology Physician organization in Moose Lake, MN (NPI 1942914049).
Provider details
- NPI number
- 1942914049
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Peck, Svp- Chief Financial Officer(715) 847-2575
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
3 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
- Northern Lakes Surgery Center LLC
Registry dates
- Enumerated
- 2023-01-12
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Northern Lakes Surgery Center LLC's NPI number?
- Northern Lakes Surgery Center LLC's National Provider Identifier (NPI) is 1942914049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lakes Surgery Center LLC?
- Northern Lakes Surgery Center LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Lakes Surgery Center LLC located?
- Northern Lakes Surgery Center LLC's practice location on file with NPPES is 4791 County Road 10, Moose Lake, MN 55767-9221.
- What is Northern Lakes Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Lakes Surgery Center LLC is (218) 249-5555.
- Does Northern Lakes Surgery Center LLC accept Medicare?
- Northern Lakes Surgery Center 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 Northern Lakes Surgery Center LLC?
- The authorized official listed on Northern Lakes Surgery Center LLC's NPPES record is Lori Peck, Svp- Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lakes Surgery Center LLC's NPI active?
- Yes — Northern Lakes Surgery Center LLC's NPI (1942914049) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.