LISA ANN LAKE DNP
NPI 1013398023
Nurse Practitioner - Family in West Burlington, IA

Q: What is Lisa Lake's NPI number?

The NPI number for Lisa Lake is 1013398023. It was assigned to this individual provider in the NPPES registry on June 16, 2015. The provider is also known as Lisa Thornburg Rn.

Q: What is Lisa Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Lake was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment

77.81/100

CMS Quality Rating

1225 S GEAR AVE, SUITE 159, WEST BURLINGTON, IA 52655(319) 768-1570 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lisa Ann Lake Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN LAKE DNP (NPI 1013398023) is an individual family provider in West Burlington, Iowa, licensed in Iowa (A120202) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013398023

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ANN LAKECredential: DNP

Location Address1225 S GEAR AVE, SUITE 159West Burlington, IA 52655-1691

Mailing Address1225 S Gear Ave Ste 159West Burlington, IA 52655-1686

Phone(319) 768-1570

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 16, 2015

Last NPPES UpdateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1013398023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A120202

1225 S GEAR AVE, West Burlington, IA 52655

Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa Thornburg Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Lisa Ann Lake Dnp 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.

PECOS PAC ID2668784299

PECOS Enrollment IDI20150709002518

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

543 services238 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

115 services115 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services56 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

29 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA

OwnershipGovernment - Local

CMS Certification Number161356

Location407 S White StMount Pleasant, IA 52641 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.62

Promoting Interoperability

100

Improvement Activities

Cost

58.43

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers44 claims111 services$5.40 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers19 claims26 services$1.00 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers19 claims19 services$118.53 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers15 claims28 services$44.47 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

1 supplier15 claims15 services$61.89 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers24 claims24 services$21.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JENNIFER K BERGE M.D.

Otolaryngology

1225 S GEAR AVE, STE 255
WEST BURLINGTON, IA 52655

Des Moines County (319) 752-2725

RAJ BHUI

Family Medicine

1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1570

RICHARD E WHITAKER LMFT

Counselor (Mental Health)

1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-3700

DR. EUGENE R PANKEY D.D.S.

Dentist (Oral and Maxillofacial Surgery)

1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655

Des Moines County (319) 752-2659

ANEESH NEEKHRA MD

Psychiatry & Neurology (Neurology)

1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655

Des Moines County (319) 754-4400

JAMESON ORTHOPEDIC CLINIC PC

Orthopaedic Surgery

1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655

Des Moines County (319) 752-4553

MARY CATHERINE BENTLER P.A.

Physician Assistant

1225 S GEAR AVE, SUITE 153
WEST BURLINGTON, IA 52655

Des Moines County (319) 754-4400

DR. VIREN MAWOJ KUMAR RAHEJA MBBS

Internal Medicine

1225 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-3700

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 Lisa Lake's NPI number?

The NPI number for Lisa Lake is 1013398023. It was assigned to this individual provider in the NPPES registry on June 16, 2015. The provider is also known as Lisa Thornburg Rn.

Where is Lisa Lake located?

Lisa Lake practices at 1225 S Gear Ave Suite 159, West Burlington, IA 52655. The listed phone number is (319) 768-1570.

What is Lisa Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Lake enrolled in Medicare?

Yes. Lisa 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.

What insurance does Lisa Lake accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Lisa Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Lake affiliated with any hospitals?

According to CMS data, Lisa Lake is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Lisa Lake was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.