CARISSA A WEBSTER-LAKE MD
NPI 1134448269
Surgery - Vascular Surgery in West Hartford, CT

Q: What is Carissa Webster-lake's NPI number?

The NPI number for Carissa Webster-lake is 1134448269. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Q: What is Carissa Webster-lake's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since May 28, 2010PECOS EnrolledAccepts Medicare Assignment

2550 ALBANY AVE # 1056, WEST HARTFORD, CT 06117(617) 869-0135 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, Jul 21, 2022, Aug 26, 2019 and 4 more (7 updates tracked since 2017).

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About Carissa A Webster-lake Md NPPES

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

CARISSA A WEBSTER-LAKE MD (NPI 1134448269) is an individual vascular surgery provider in West Hartford, Connecticut, licensed in Tennessee (59921) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134448269

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameCARISSA A WEBSTER-LAKECredential: MD

Location Address2550 ALBANY AVE # 1056West Hartford, CT 06117-2335

Mailing Address2550 Albany Ave # 1056West Hartford, CT 06117-2335 · Fax (901) 271-0155

Phone(617) 869-0135

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 28, 2010

Last NPPES UpdateAugust 28, 20247 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1134448269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in TN · 59921✔ Licensed in CT · 54698✔ Licensed in VA · 0101279557

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 54698 (CT)

2550 ALBANY AVE # 1056, West Hartford, CT 06117

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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

Carissa A Webster-lake Md 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 ID9830467935

PECOS Enrollment IDI20170614000363, I20230515000942, I20251029002107

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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220066

Location271 Carew StreetSpringfield, MA 01104 · Hampden County

Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06117 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

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 Carissa Webster-lake's NPI number?

The NPI number for Carissa Webster-lake is 1134448269. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Carissa Webster-lake located?

Carissa Webster-lake practices at 2550 Albany Ave # 1056, West Hartford, CT 06117. The listed phone number is (617) 869-0135.

What is Carissa Webster-lake's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Carissa Webster-lake enrolled in Medicare?

Yes. Carissa Webster-lake 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.

Is Carissa Webster-lake affiliated with any hospitals?

According to CMS data, Carissa Webster-lake is affiliated with Mercy Medical Ctr and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Carissa Webster-lake was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.