WILLIAM CAREY LAKE APRN
NPI 1497390017
Nurse Practitioner - Family in Hanna, WY

Active since November 07, 2019PECOS EnrolledAccepts Medicare Assignment
58.5/100
CMS Quality Rating
1025 JADE DRIVEE, HANNA, WY 82327(307) 321-8782 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 18, 2019, Nov 7, 2019 (2 updates tracked since 2019).

About William Carey Lake Aprn NPPES

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

WILLIAM CAREY LAKE APRN (NPI 1497390017) is an individual family provider in Hanna, Wyoming, licensed in Wyoming (44879) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497390017
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM CAREY LAKECredential: APRN
Location Address1025 JADE DRIVEEHanna, WY 82327-8232
Mailing Address1008 Feldspar CtHanna, WY 82327-5046 · (859) 314-7052
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 7, 2019
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1497390017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in WY · 44879 Licensed in KY · 4029358
1025 JADE DRIVEE, Hanna, WY 82327

Secondary Practice Location 1

Location 1446 Mount Holly AveLouisville, KY 40206-2125 · Phone (812) 284-2273 · Fax (812) 284-2279

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 and accepts Medicare assignment

William Carey Lake Aprn 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 ID6204261977
PECOS Enrollment IDI20241230002818
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82327 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.77
Improvement Activities40
Cost57.42

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims15 services$55.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 William Lake's NPI number?

The NPI number for William Lake is 1497390017. It was assigned to this individual provider in the NPPES registry on November 7, 2019.

Where is William Lake located?

William Lake practices at 1025 Jade Drivee, Hanna, WY 82327. The listed phone number is (307) 321-8782.

What is William Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is William Lake enrolled in Medicare?

Yes. William 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.

What insurance does William Lake accept?

Health plans from CareSource list William 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 William Lake was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.