MR. LAWRENCE LELAND LAKE CRNP
NPI 1811542269
Nurse Practitioner - Family in Birmingham, AL

Q: What is Lawrence Lake's NPI number?

The NPI number for Lawrence Lake is 1811542269. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Q: What is Lawrence Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lawrence Lake was last updated on February 16, 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.

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment

701 PRINCETON AVE SW, BIRMINGHAM, AL 35211(205) 783-3500 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2019, Aug 2, 2019 (2 updates tracked since 2019).

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About Mr. Lawrence Leland Lake Crnp NPPES

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

MR. LAWRENCE LELAND LAKE CRNP (NPI 1811542269) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-127139) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811542269

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. LAWRENCE LELAND LAKECredential: CRNP

Location Address701 PRINCETON AVE SWBirmingham, AL 35211-1303

Mailing Address830 Moonlite DrOdenville, AL 35120-5463 · (205) 441-1483

Phone(205) 783-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 2, 2019

Last NPPES UpdateFebruary 16, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2024

✔ NPI 1811542269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-127139

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 1-127139 (AL)

701 PRINCETON AVE SW, Birmingham, AL 35211

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1995 9th Ave SWBessemer, AL 35022-4527 · Phone (205) 481-7160

Location 2604 Stone AveTalladega, AL 35160-2217 · Phone (256) 362-8111

Location 33400 Highway 78 EJasper, AL 35501-8956 · Phone (205) 387-4000

Location 41000 1st St NAlabaster, AL 35007-8703 · Phone (205) 620-8100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Mr. Lawrence Leland Lake Crnp 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 ID7618209594

PECOS Enrollment IDI20191025000690

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 4

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.

41 services41 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.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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.

DR. WILLIAM RANDOLPH MADDOX M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)