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MS. MEREDITH ROSE LAKE CPNP-AC
NPI 1033652540
Nurse Practitioner - Pediatrics in Hartford, CT

Active since December 01, 2016PECOS Enrolled
282 WASHINGTON ST, HARTFORD, CT 06106(860) 545-9000 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Jul 6, 2020 (2 updates tracked since 2020).

About Ms. Meredith Rose Lake Cpnp-ac NPPES

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

MS. MEREDITH ROSE LAKE CPNP-AC (NPI 1033652540) is an individual pediatrics provider in Hartford, Connecticut, licensed in Connecticut (6861) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033652540
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MEREDITH ROSE LAKECredential: CPNP-AC
Location Address282 WASHINGTON STHartford, CT 06106-3322
Mailing Address282 Washington StHartford, CT 06106-3322 · (860) 545-9000
Phone(860) 545-9000
Sole ProprietorNo
Enumeration DateDecember 1, 2016
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1033652540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 6861
282 WASHINGTON ST, Hartford, CT 06106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Meredith Rose Lake Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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. IRFAN AHMED WARSY MBBS
Pediatrics (Pediatric Cardiology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9147
RYAN CIARLO MD
Pediatrics
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 837-5560
EUNICE HA-YOUNG KIM
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8340
JAMES HAGADORN MD
Pediatrics (Neonatal-Perinatal Medicine)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8950
CRAIG SCHRAMM MD
Pediatrics (Pediatric Pulmonology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9440
NICOLE LYNN BOONE PA
Physician Assistant (Surgical)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
SRAVYA GOURISHETTI
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
HAYA NOOR QUTOB DO
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000

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 Meredith Lake's NPI number?

The NPI number for Meredith Lake is 1033652540. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Meredith Lake located?

Meredith Lake practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9000.

What is Meredith Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Meredith Lake enrolled in Medicare?

Yes. Meredith Lake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Meredith Lake was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.