JENNIFER A LAKE MD
NPI 1245205301
Family Medicine in White Bear Lake, MN

Q: What is Jennifer Lake's NPI number?

The NPI number for Jennifer Lake is 1245205301. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Jennifer Lake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lake was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

4422 WHITE BEAR AVE N, WHITE BEAR LAKE, MN 55110(651) 287-8780(651) 287-8786 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2015, Nov 24, 2015 (2 updates tracked since 2015).

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About Jennifer A Lake Md NPPES

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

JENNIFER A LAKE MD (NPI 1245205301) is an individual family medicine provider in White Bear Lake, Minnesota, licensed in Minnesota (44657) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1245205301

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER A LAKECredential: MD

Location Address4422 WHITE BEAR AVE NWhite Bear Lake, MN 55110-3475

Mailing Address4422 White Bear Ave NWhite Bear Lake, MN 55110-3475 · (651) 287-8780 · Fax (651) 287-8786

Phone(651) 287-8780

Fax(651) 287-8786

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001

Enumeration DateFebruary 22, 2006

Last NPPES UpdateDecember 8, 20152 updates tracked since enumeration

✔ NPI 1245205301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 44657

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4422 WHITE BEAR AVE N, White Bear Lake, MN 55110

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Other Identifiers 3

Medicare NSC1245205301MN

Medicaid179001300MN

Medicare UPINH70496

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Jennifer A 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 ID8628052099

PECOS Enrollment IDI20040614001551

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

73 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services29 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers18 claims34 services$6.37 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier13 claims13 services$2.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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