DONALD LAKE FNP-C
NPI 1871014944
Nurse Practitioner - Family in Port Huron, MI

Q: What is Donald Lake's NPI number?

The NPI number for Donald Lake is 1871014944. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Donald 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 Donald Lake was last updated on July 21, 2022. 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.

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment

1221 PINE GROVE AVE, MCIAREN PORT HURON, PORT HURON, MI 48060(810) 987-5000(810) 985-2669 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

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About Donald Lake Fnp-c NPPES

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

DONALD LAKE FNP-C (NPI 1871014944) is an individual family provider in Port Huron, Michigan, licensed in Michigan (4704210937) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871014944

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDONALD LAKECredential: FNP-C

Location Address1221 PINE GROVE AVE, MCIAREN PORT HURONPort Huron, MI 48060

Mailing Address1221 Pine Grove Ave, Mciaren Port HuronPort Huron, MI 48060 · (810) 987-5000 · Fax (810) 985-2669

Phone(810) 987-5000

Fax(810) 985-2669

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 29, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1871014944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704210937

1221 PINE GROVE AVE, Port Huron, MI 48060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Donald Lake Fnp-c 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 ID1658616727

PECOS Enrollment IDI20210217000765

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MS. MARGARET ANN GRESSLE ACNP-BC

Nurse Practitioner (Acute Care)

1221 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 987-5000

TRI HOSPITAL MRI CENTER

Clinic/Center (Magnetic Resonance Imaging (MRI))

1221 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 987-2428

AMY STOREY NP

Nurse Practitioner (Acute Care)

1221 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 987-5000

DR. PETER Y TSENG MD

Obstetrics & Gynecology

1221 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 985-2663

PHILIP ROSS LEPINE CRNA

Nurse Anesthetist, Certified Registered

1221 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 987-5000

RICHARD CRILL MD

Emergency Medicine

1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT
PORT HURON, MI 48060

St. Clair County (810) 987-5000

KURT BRINKER

Physical Therapist

1221 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 987-5000

MICHAEL K PAUL M.D.

Emergency Medicine

1221 PINE GROVE AVE, MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
PORT HURON, MI 48060

St. Clair County (810) 989-3300

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 Donald Lake's NPI number?

The NPI number for Donald Lake is 1871014944. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Donald Lake located?

Donald Lake practices at 1221 Pine Grove Ave Mciaren Port Huron, Port Huron, MI 48060. The listed phone number is (810) 987-5000.

What is Donald Lake's specialty?

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

Is Donald Lake enrolled in Medicare?

Yes. Donald 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.

What insurance does Donald Lake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Donald 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.

Is Donald Lake affiliated with any hospitals?

According to CMS data, Donald Lake is affiliated with Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Donald Lake was last updated on July 21, 2022. 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.