Lakes Area Health Center, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LAKES AREA HEALTH CENTER, PLLC

Doing business as

Ottomeyer Clinics

Practice address

1440 Duckwood Dr Ste 200
Eagan, MN 55122-1451

Phone

(651) 203-4673

Fax

(651) 203-5130

NPI assigned

May 16, 2006

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grant Pylkas

Title

Chairman

Phone

(651) 238-5558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Ottomeyer Clinics Doing business as
• Ottomeyer Clinics, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Mary Neu, NP-C

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1245676402
  Medicare reassignment Care Compare group NPD
• Rose Solly, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1396288577
  Medicare reassignment Care Compare group NPD
• Jennifer L Ergang, APRN, FNP-C

  • Family Nurse Practitioner
  • Woodbury, MN
  • NPI 1518429273
  Medicare reassignment NPD
• Marland Dale Gilbert, D.C, MSPAS, PA-C

  • Surgical Physician Assistant
  • Saint Paul, MN
  • NPI 1487676607
  Medicare reassignment NPD
• Daniel Ryan Nguyen, PA

  • Physician Assistant
  • Burnsville, MN
  • NPI 1457893984
  Medicare reassignment NPD
• Hannah O'Leary, DNP, FNP-C

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1891284568
  Medicare reassignment NPD
• Leann Rose Ottomeyer, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Forest Lake, MN
  • NPI 1952935512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1467403030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 DUCKWOOD DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221451",
            "telephone_number": "651-203-4673",
            "fax_number": "651-203-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 DUCKWOOD DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221451",
            "telephone_number": "651-203-4673",
            "fax_number": "651-203-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "PYLKAS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "651-238-5558"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "24D2153873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottomeyer Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ottomeyer Clinics, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca J Laing, PHARMD
• Lake City Family Physicians PC
• Lakeland Homecare LLC
• Lakeland Staffing Solutions, LLC
• Lakeline Transportation LLC
• Laura Lynn Lammar-Binder, MA, LMFT
• Jennifer Landry, LGSW
• Lindsay Marie Lankford, PT
• Jonathan Lanthier, PHARMD, RPH
• Lantz Chiropractic, PA

• Multi-Specialty Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.