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AHNNA LAKE M.D.
NPI 1649488107
Family Medicine in Morristown, VT

Active since May 18, 2007PECOS Enrolled
1123 MORAN LOOP, MORRISTOWN, VT 05661(802) 253-9369 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahnna Lake M.d. NPPES

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

AHNNA LAKE M.D. (NPI 1649488107) is an individual family medicine provider in Morristown, Vermont, licensed in Vermont (42-8468) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1649488107
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAHNNA LAKECredential: M.D.
Location Address1123 MORAN LOOPMorristown, VT 05661
Mailing AddressPo Box 119Stowe, VT 05672-0119 · (802) 253-9369
Phone(802) 253-9369
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1649488107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VT · 42-8468✔ Licensed in ME · MD21340
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 ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 42-8468 (VT)
1123 MORAN LOOP, Morristown, VT 05661
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahnna Lake M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325574304
PECOS Enrollment IDI20260625003696
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ahnna Lake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookview Medical Associates, PLLC
259 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Signify Health, LLC
1,522 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Maine and Vermont enrollments
  • 75 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
1,522 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, New Hampshire enrollment
  • 62 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 05661 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 Ahnna Lake's NPI number?

The NPI number for Ahnna Lake is 1649488107. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Ahnna Lake located?

Ahnna Lake practices at 1123 Moran Loop, Morristown, VT 05661. The listed phone number is (802) 253-9369.

What is Ahnna Lake's specialty?

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

Is Ahnna Lake enrolled in Medicare?

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

Which organizations bill Medicare for Ahnna Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahnna Lake reassigns Medicare benefits to 3 organizations: Brookview Medical Associates, PLLC (Bohemia, NY), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Ahnna Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ahnna Lake was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.