DONALD LAKE FNP-C
NPI 1871014944
Nurse Practitioner - Family in Port Huron, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Donald Lake reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Huron, MI 48060
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 188 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 242 clinicians in this Medicare group
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIPhysician 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.
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.
PORT HURON, MI 48060
PORT HURON, MI 48060
PORT HURON, MI 48060
PORT HURON, MI 48060
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.
Which organizations bill Medicare for Donald Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Lake reassigns Medicare benefits to 4 organizations: Mclaren Port Huron (Port Huron, MI), Mclaren Macomb (Mount Clemens, MI), Mclaren Flint (Flint, MI) and Mclaren Greater Lansing (Okemos, MI). 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 Donald Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Donald Lake, FNP-C · NPI 1871014944
Family physician in Port Huron, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2017.
## Identity
- **NPI:** 1871014944 (Entity type: Individual)
- **Enumerated:** June 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704210937 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 PINE GROVE AVE, MCIAREN PORT HURON, Port Huron, MI 48060
- **Phone:** (810) 987-5000 · **Fax:** (810) 985-2669
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mclaren Port Huron (NPI 1619355930, Port Huron, MI); Mclaren Macomb (NPI 1528002532, Mount Clemens, MI); Mclaren Flint (NPI 1275807372, Flint, MI); Mclaren Greater Lansing (NPI 1316240567, Okemos, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871014944) · Data from the CMS NPPES public registry.