MICHELLE LAKE
NPI 1033838826
Nurse Practitioner - Acute Care in Davenport, IA

Q: What is Michelle Lake's NPI number?

The NPI number for Michelle Lake is 1033838826. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Q: What is Michelle Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Lake was last updated on July 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2022PECOS EnrolledAccepts Medicare Assignment

1236 E RUSHOLME ST STE 300, DAVENPORT, IA 52803(800) 382-0707 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2023, May 20, 2023, Aug 24, 2022 (3 updates tracked since 2022).

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About Michelle Lake NPPES

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

MICHELLE LAKE (NPI 1033838826) is an individual acute care provider in Davenport, Iowa, licensed in Iowa (H171781) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033838826

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMICHELLE LAKE

Location Address1236 E RUSHOLME ST STE 300Davenport, IA 52803-2484

Mailing Address11 Westwood DrGeneseo, IL 61254-9584 · (309) 507-2367

Phone(800) 382-0707

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 24, 2022

Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1033838826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IA · H171781

Also ListedRegistered NurseTaxonomy 163W00000X · License 041439972 (IL), 141908 (IA)

1236 E RUSHOLME ST STE 300, Davenport, IA 52803

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Michelle Lake 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 ID5991181711

PECOS Enrollment IDI20230802003296

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY G ESCONTRIAS ARNP

Nurse Practitioner (Family)