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MIRIAM CLAIRE LAKES NP
NPI 1871164822
Nurse Practitioner in Stockton, CA

Active since July 09, 2021PECOS Enrolled
747 CHANNEL STREET, STOCKTON, CA 95202(209) 944-4700 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2022, Jul 9, 2021 (2 updates tracked since 2021).

About Miriam Claire Lakes Np NPPES

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

MIRIAM CLAIRE LAKES NP (NPI 1871164822) is an individual nurse practitioner in Stockton, California, licensed in California (95017948) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871164822
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRIAM CLAIRE LAKESCredential: NP
Location Address747 CHANNEL STREETStockton, CA 95202
Mailing Address1011 S Tuxedo AveStockton, CA 95204-6219 · (415) 686-2045
Phone(209) 944-4700
Sole ProprietorYes
Enumeration DateJuly 9, 2021
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1871164822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95017948
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
747 CHANNEL STREET, Stockton, CA 95202
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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)

Miriam Claire Lakes Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Miriam Lakes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers Inc
Same address
Federally Qualified Health Center (FQHC)
747 E CHANNEL ST
Stockton, CA 95202
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1235745928 (209) 944-4700

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 95202 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 Miriam Lakes's NPI number?

The NPI number for Miriam Lakes is 1871164822. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Miriam Lakes located?

Miriam Lakes practices at 747 Channel Street, Stockton, CA 95202. The listed phone number is (209) 944-4700.

What is Miriam Lakes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Miriam Lakes enrolled in Medicare?

Yes. Miriam Lakes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miriam Lakes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Lakes reassigns Medicare benefits to Community Medical Centers Inc (Stockton, CA). The 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 Miriam Lakes'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 Miriam Lakes was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.