Cross Lake Emergency Group, LLC
NPI 1013497114ActiveOrganization· Emergency Medicine· Shreveport, LA
Emergency Medicine in Shreveport, Louisiana, registered in NPPES in August 2018. The authorized official on file is Lisha C. Falk, Vp Of Contracting. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013497114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2018 |
| Last updated in NPPES | Mar 23, 2022 |
| Certified by provider | Mar 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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