CARISSA A WEBSTER-LAKE MD
NPI 1134448269
Surgery - Vascular Surgery in West Hartford, CT
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 maintains a secondary practice location in Newport News.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Carissa Webster-lake reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 clinicians in this Medicare group
Bristol, CT 06010
- Reassigned Medicare billing, Connecticut enrollment
- 222 clinicians in this Medicare group
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 298 clinicians in this Medicare group
Danbury, CT 06810
- Reassigned Medicare billing, Connecticut enrollment
- 818 clinicians in this Medicare group
Reading, PA 19604
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 clinicians in this Medicare group
Reading, PA 19605
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MAPenn State Health St. Joseph
Acute Care Hospitals · Reading, PAPhysician 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.
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.
Which organizations bill Medicare for Carissa Webster-lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Webster-lake reassigns Medicare benefits to 8 organizations: Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT), Bristol Hospital Multi Specialty Group, Inc (Bristol, CT), Riverbend Medical Group, Inc. (Springfield, MA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carissa Webster-lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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.
# Carissa A Webster-Lake, MD · NPI 1134448269
Vascular Surgery physician in West Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since May 28, 2010.
## Identity
- **NPI:** 1134448269 (Entity type: Individual)
- **Enumerated:** May 28, 2010
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 59921 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2550 ALBANY AVE # 1056, West Hartford, CT 06117-2335
- **Phone:** (617) 869-0135
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT); Bristol Hospital Multi Specialty Group, Inc (NPI 1649265679, Bristol, CT); Riverbend Medical Group, Inc. (NPI 1841651197, Springfield, MA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1134448269) · Data from the CMS NPPES public registry.