MIKAELA CELINE LAKE DO
NPI 1437848439
Family Medicine in Mankato, MN

Q: What is Mikaela Lake's NPI number?

The NPI number for Mikaela Lake is 1437848439. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Q: What is Mikaela 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 Mikaela Lake was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 04, 2023PECOS EnrolledAccepts Medicare Assignment

101 MARTIN LUTHER KING JR DR, MANKATO, MN 56001(507) 594-6500 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, May 4, 2023 (2 updates tracked since 2023).

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About Mikaela Celine Lake Do NPPES

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

MIKAELA CELINE LAKE DO (NPI 1437848439) is an individual family medicine provider in Mankato, Minnesota, licensed in Minnesota (33509) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2023).

NPPES Registry Identity

NPI1437848439

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMIKAELA CELINE LAKECredential: DO

Location Address101 MARTIN LUTHER KING JR DRMankato, MN 56001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 594-6500

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2023

Enumeration DateMay 4, 2023

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1437848439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 33509

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 MARTIN LUTHER KING JR DR, Mankato, MN 56001

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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

Mikaela Celine Lake Do 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 ID3779949854

PECOS Enrollment IDI20250730000331

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.

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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.

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 Mikaela Lake's NPI number?

The NPI number for Mikaela Lake is 1437848439. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Mikaela Lake located?

Mikaela Lake practices at 101 Martin Luther King Jr Dr, Mankato, MN 56001. The listed phone number is (507) 594-6500.

What is Mikaela Lake's specialty?

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

Is Mikaela Lake enrolled in Medicare?

Yes. Mikaela 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.

Is Mikaela Lake affiliated with any hospitals?

According to CMS data, Mikaela Lake is affiliated with Mayo Clinic Health System - Mankato.

When was this NPI record last updated?

The NPPES record for Mikaela Lake was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.