LINNEA LAKE PMHNP-BC
NPI 1205694940
Nurse Practitioner - Psychiatric/Mental Health in Philipsburg, PA

Active since March 07, 2024PECOS Enrolled
1633 PHILIPSBURG BIGLER HWY, PHILIPSBURG, PA 16866(814) 342-5845 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Linnea Lake Pmhnp-bc NPPES

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

LINNEA LAKE PMHNP-BC (NPI 1205694940) is an individual psychiatric/mental health provider in Philipsburg, Pennsylvania, licensed in Pennsylvania (SP029424) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205694940
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLINNEA LAKECredential: PMHNP-BC
Location Address1633 PHILIPSBURG BIGLER HWYPhilipsburg, PA 16866-8112
Mailing Address1128 5th AveDuncansville, PA 16635-1319 · (814) 502-5994
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 7, 2024
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1205694940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP029424
1633 PHILIPSBURG BIGLER HWY, Philipsburg, PA 16866

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Linnea Lake Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113368549
PECOS Enrollment IDI20240515003905
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.

Medicare Billing Reassignment

Medicare enrollment records show Linnea Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1520 MARTIN ST
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16866 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Speech-Language Pathologist
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Social Worker
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Licensed Practical Nurse
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Counselor
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Speech-Language Pathologist
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Clinic/Center (Community Health)
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Counselor (Professional)
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866
Counselor (Mental Health)
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA 16866

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 Linnea Lake's NPI number?

The NPI number for Linnea Lake is 1205694940. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Linnea Lake located?

Linnea Lake practices at 1633 Philipsburg Bigler Hwy, Philipsburg, PA 16866. The listed phone number is (814) 342-5845.

What is Linnea Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Linnea Lake enrolled in Medicare?

Yes. Linnea Lake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Linnea Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Linnea Lake reassigns Medicare benefits to Oasis Lifecare LLC (State College, PA). The 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 Linnea Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Linnea Lake was last updated on March 11, 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.