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 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.

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: November 08, 2026.

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

On this page

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

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Medicine PLLC

Same address

Cardiovascular Disease

1236 E. RUSHOLME STREET, SUITE 300
Davenport, IA 52803

Reassigned Medicare billing, Iowa enrollment
55 clinicians in this Medicare group

NPI 1982632907 (563) 324-2992

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

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)