JENNIFER MARIE LAKE PMHNP
NPI 1285073924
Nurse Practitioner - Psychiatric/Mental Health in Jenison, MI
About Jennifer Marie Lake Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MARIE LAKE PMHNP (NPI 1285073924) is an individual psychiatric/mental health provider in Jenison, Michigan, licensed in Michigan (4704248401) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 (PECOS)
Jennifer Marie Lake Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49428 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Lake's NPI number?
The NPI number for Jennifer Lake is 1285073924. It was assigned to this individual provider in the NPPES registry on June 16, 2013.
Where is Jennifer Lake located?
Jennifer Lake practices at 1346 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 765-8585.
What is Jennifer Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jennifer Lake enrolled in Medicare?
Yes. Jennifer Lake is registered in the Medicare PECOS enrollment system.
What insurance does Jennifer Lake accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Jennifer 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.
When was this NPI record last updated?
The NPPES record for Jennifer Lake was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jennifer Marie Lake, PMHNP · NPI 1285073924
Psychiatric/Mental Health physician in Jenison, Michigan. Individual provider, active in the CMS NPPES registry since June 16, 2013.
## Identity
- **NPI:** 1285073924 (Entity type: Individual)
- **Enumerated:** June 16, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704248401 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1346 BALDWIN ST, Jenison, MI 49428-8937
- **Phone:** (616) 765-8585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** January 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285073924) · Data from the CMS NPPES public registry.