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HAROLD J LAKE JR. PA-C
NPI 1598098824
Physician Assistant - Medical in Traverse City, MI

Active since September 18, 2009PECOS Enrolled
96.27/100
CMS Quality Rating
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-8686(231) 935-8707 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Nov 9, 2016 (2 updates tracked since 2016).

About Harold J Lake Jr. Pa-c NPPES

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

HAROLD J LAKE JR. PA-C (NPI 1598098824) is an individual medical provider in Traverse City, Michigan, licensed in Michigan (5601005633) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598098824
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameHAROLD J LAKE JR.Credential: PA-C
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-8686 · Fax (231) 935-8707
Phone(231) 935-8686
Fax(231) 935-8707
Sole ProprietorNo
Enumeration DateSeptember 18, 2009
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1598098824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601005633
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601005633 (MI)
1105 SIXTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Harold J Lake Jr. Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
76 services73 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services54 patients

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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

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.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100
DEANNE R BRIGGS LPC, CAC III
Counselor (Mental Health)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6380

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 Harold Lake's NPI number?

The NPI number for Harold Lake is 1598098824. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Harold Lake located?

Harold Lake practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-8686.

What is Harold Lake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Harold Lake enrolled in Medicare?

Yes. Harold Lake is registered in the Medicare PECOS enrollment system.

What insurance does Harold Lake accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Harold 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 Harold Lake was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.