1. Home
  2. Directory
  3. Vermont
  4. Morristown
  5. Family Medicine
  6. NPI Profile

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: August 02, 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 Mcgill University, Faculty Of Medicine (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 CMSMcgill University, Faculty Of MedicineGraduated 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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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 IDI20251120001042
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 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.

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.