STACEY MILLS LAKE NP
NPI 1154003473
Nurse Practitioner - Primary Care in Holladay, UT
About Stacey Mills Lake Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MILLS LAKE NP (NPI 1154003473) is an individual primary care provider in Holladay, Utah, licensed in Utah (5641317-4405) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 3
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
Stacey Mills Lake Np 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILLCREEK, UT 84117
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 Stacey Lake's NPI number?
The NPI number for Stacey Lake is 1154003473. It was assigned to this individual provider in the NPPES registry on August 4, 2023.
Where is Stacey Lake located?
Stacey Lake practices at 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117. The listed phone number is (801) 268-2584.
What is Stacey Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Stacey Lake enrolled in Medicare?
Yes. Stacey 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.
What insurance does Stacey Lake accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Stacey Lake 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.
Is Stacey Lake affiliated with any hospitals?
According to CMS data, Stacey Lake is affiliated with St Mark's Hospital.
When was this NPI record last updated?
The NPPES record for Stacey Lake was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.