MS. SANDRA L. LAKE A.P.N.
NPI 1568657344
Nurse Practitioner - Family in Little Rock, AR
About Ms. Sandra L. Lake A.p.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SANDRA L. LAKE A.P.N. (NPI 1568657344) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (A003035) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
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
Ms. Sandra L. Lake A.p.n. 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 Reassignments
2Medicare enrollment records show Sandra Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Searcy, AR 72143
- Reassigned Medicare billing, Arkansas enrollment
- 208 clinicians in this Medicare group
Middle River, MD 21220
- Reassigned Medicare billing, Arkansas 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Sandra Lake's NPI number?
The NPI number for Sandra Lake is 1568657344. It was assigned to this individual provider in the NPPES registry on September 13, 2007.
Where is Sandra Lake located?
Sandra Lake practices at 4301 W Markham St # 783, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
What is Sandra Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandra Lake enrolled in Medicare?
Yes. Sandra 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 organizations bill Medicare for Sandra Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Lake reassigns Medicare benefits to 2 organizations: Urgent Team Of Arkansas Physicians, LLC (Searcy, AR) and Comprehensive Rehab Consultants PLLC (Middle River, MD). Each 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 Sandra Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Lake accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Sandra 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 Sandra Lake was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Sandra L. Lake, A.P.N. · NPI 1568657344
Family physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1568657344 (Entity type: Individual)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A003035 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 783, Little Rock, AR 72205-7101
- **Phone:** (501) 686-8000 · **Fax:** (501) 526-6562
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Urgent Team Of Arkansas Physicians, LLC (NPI 1992041370, Searcy, AR); Comprehensive Rehab Consultants PLLC (NPI 1710529771, Middle River, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1568657344) · Data from the CMS NPPES public registry.