KENNETH B LAKE CRNA
NPI 1003964024
Nurse Anesthetist, Certified Registered in Delta, CO
About Kenneth B Lake Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH B LAKE CRNA (NPI 1003964024) is an individual nurse anesthetist, certified registered in Delta, Colorado, licensed in Colorado (APN.0997653-CRNA) and active in the NPI registry since January 2007. He is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth B Lake Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Lake's NPI number?
The NPI number for Kenneth Lake is 1003964024. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Kenneth Lake located?
Kenneth Lake practices at 1501 E 3rd St, Delta, CO 81416. The listed phone number is (970) 874-7681.
What is Kenneth Lake's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kenneth Lake enrolled in Medicare?
Yes. Kenneth Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kenneth Lake was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
