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EMMA LAKE PA
NPI 1891363974
Physician Assistant in Adrian, MI

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment
905 N MAIN ST, ADRIAN, MI 49221(517) 295-1066 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emma Lake Pa NPPES

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

EMMA LAKE PA (NPI 1891363974) is an individual physician assistant in Adrian, Michigan and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891363974
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA LAKECredential: PA
Location Address905 N MAIN STAdrian, MI 49221-2173
Mailing Address14671 Telegraph RdRedford, MI 48239-3300 · (313) 948-3055 · Fax (313) 948-3041
Phone(517) 295-1066
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1891363974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
905 N MAIN ST, Adrian, MI 49221
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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

Emma Lake Pa 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 ID1254732605
PECOS Enrollment IDI20220816000680
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
75 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
14 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49221 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREEDOM APOTHECARY, INC.
Pharmacy (Community/Retail Pharmacy)
905 N MAIN ST, #4
ADRIAN, MI 49221
Lenawee County (517) 273-7300
MAIN ST URGENT CARE CLINIC AND WALK IN CLINIC PC
Clinic/Center (Urgent Care)
905 N MAIN ST
ADRIAN, MI 49221
Lenawee County (313) 948-3055
MRS. NIRALI MAHESH PATEL REGISTER PHARMACIST
Pharmacist
905 N MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 438-8300
DR. EINAR BORGE TJOLSEN PHARM.D.
Pharmacist
905 N MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 263-7300

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 Emma Lake's NPI number?

The NPI number for Emma Lake is 1891363974. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Emma Lake located?

Emma Lake practices at 905 N Main St, Adrian, MI 49221. The listed phone number is (517) 295-1066.

What is Emma Lake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emma Lake enrolled in Medicare?

Yes. Emma 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.

Is Emma Lake affiliated with any hospitals?

According to CMS data, Emma Lake is affiliated with Jefferson Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Emma Lake was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.