STEPHANIE M LAKE-MELTON PA-C
NPI 1104113141
Physician Assistant in Beloit, WI

Q: What is Stephanie Lake-melton's NPI number?

The NPI number for Stephanie Lake-melton is 1104113141. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Stephanie Lake-melton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 28, 2011PECOS Enrolled

74 ECLIPSE CTR, BELOIT, WI 53511(608) 361-0331 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Dec 3, 2020, Jan 24, 2017 (3 updates tracked since 2017).

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About Stephanie M Lake-melton Pa-c NPPES

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

STEPHANIE M LAKE-MELTON PA-C (NPI 1104113141) is an individual physician assistant in Beloit, Wisconsin, licensed in Wisconsin (2776-23) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104113141

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE M LAKE-MELTONCredential: PA-C

Location Address74 ECLIPSE CTRBeloit, WI 53511-3550

Mailing Address74 Eclipse CtrBeloit, WI 53511-3550 · (608) 361-0331

Phone(608) 361-0331

Sole ProprietorNo

Enumeration DateJune 28, 2011

Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration

NPPES CertifiedOctober 3, 2022

✔ NPI 1104113141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 2776-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

74 ECLIPSE CTR, Beloit, WI 53511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie M Lake-melton Pa-c 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 53511 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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. MIHAELA POPA D.M.D.

Dentist (General Practice)