DR. KIMBERLY SUE LAKE D.C.
NPI 1376594713
Chiropractor in Bettendorf, IA
About Dr. Kimberly Sue Lake D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY SUE LAKE D.C. (NPI 1376594713) is an individual chiropractor in Bettendorf, Iowa, licensed in Iowa (06869) and active in the NPI registry since May 2006. She is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Kimberly Sue Lake D.c. 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 Reassignment
Medicare enrollment records show Kimberly Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bettendorf, IA 52722
- Reassigned Medicare billing, Iowa enrollment
- 3 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.
Areas of Expertise CMS Part B claims
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.
Other Providers at the Same Location NPPES 4
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 Kimberly Lake's NPI number?
The NPI number for Kimberly Lake is 1376594713. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Kimberly Lake located?
Kimberly Lake practices at 2525 Kimberly Rd Ste #1, Bettendorf, IA 52722. The listed phone number is (563) 344-0777.
What is Kimberly Lake's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kimberly Lake enrolled in Medicare?
Yes. Kimberly 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 organization bills Medicare for Kimberly Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Lake reassigns Medicare benefits to Kaminski Pain And Performance Care,p.C. (Bettendorf, IA). 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 Kimberly Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Lake accept?
Health plans from Oscar Insurance Company list Kimberly 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 Kimberly Lake was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Kimberly Sue Lake, D.C. · NPI 1376594713
Chiropractor provider in Bettendorf, Iowa. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1376594713 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 06869 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 KIMBERLY RD, STE #1, Bettendorf, IA 52722-3538
- **Phone:** (563) 344-0777 · **Fax:** (563) 344-0888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kaminski Pain And Performance Care,p.C. (NPI 1255381828, Bettendorf, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376594713) · Data from the CMS NPPES public registry.