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

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: July 26, 2026.

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
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

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

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.

Counselor (Mental Health)
238 SUMMAR DR
JACKSON, TN 38301
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Counselor (Professional)
238 SUMMAR DR
JACKSON, TN 38301
Counselor
238 SUMMAR DR
JACKSON, TN 38301
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Counselor
238 SUMMAR DR
JACKSON, TN 38301
Specialist
238 SUMMAR DR
JACKSON, TN 38301

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 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.

Where is Evelyn Lake-harris located?

Evelyn Lake-harris practices at 238 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 541-8200.

What is Evelyn Lake-harris's specialty?

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

Is Evelyn Lake-harris enrolled in Medicare?

Yes. Evelyn Lake-harris 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 Evelyn Lake-harris accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Evelyn Lake-harris 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.

When was this NPI record last updated?

The NPPES record for Evelyn Lake-harris was last updated on January 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.