EVELYN LAKE-HARRIS APN
NPI 1083732762
Nurse Practitioner in Jackson, TN

Q: What is Evelyn Lake-harris's NPI number?

The NPI number for Evelyn Lake-harris is 1083732762. It was assigned to this individual provider in the NPPES registry on March 27, 2007. The provider is also known as Evelyn Lake.

Q: What is Evelyn Lake-harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment

238 SUMMAR DR, JACKSON, TN 38301(731) 541-8200(731) 935-8327 Get Directions Write a Review

NPPES record last updated: January 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evelyn Lake-harris Apn NPPES

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

EVELYN LAKE-HARRIS APN (NPI 1083732762) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (APN6691) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083732762

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEVELYN LAKE-HARRISCredential: APN

Location Address238 SUMMAR DRJackson, TN 38301-3906

Mailing AddressPo Box 10414, C O Paradigm HealthLargo, FL 33773-0414

Phone(731) 541-8200

Fax(731) 935-8327

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMarch 27, 2007

Last NPPES UpdateJanuary 15, 2018

✔ NPI 1083732762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · APN6691

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

238 SUMMAR DR, Jackson, TN 38301

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Other Names 1

Former Name (1)Evelyn Lake

Other Identifiers 3

Other4099612TN · Bcbs W Paradigm 80

Medicaid3901225TN

OtherP00211926TN · Rr Mcare W Paradigm 80

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Evelyn Lake-harris Apn 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 ID547219586

PECOS Enrollment IDI20050118000405

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 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

CARRIE DAVIS BURNS CASE MANAGER

Counselor (Mental Health)