ALICIA LARAE LAKE MSN, NP-C
NPI 1891449625
Nurse Practitioner - Family in Hannibal, MO
About Alicia Larae Lake Msn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA LARAE LAKE MSN, NP-C (NPI 1891449625) is an individual family provider in Hannibal, Missouri, licensed in Missouri (2021023511) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Alicia Larae Lake Msn, Np-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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hannibal Regional Hospital
Acute Care Hospitals · Hannibal, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63401 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.
HANNIBAL, MO 63401
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 Alicia Lake's NPI number?
The NPI number for Alicia Lake is 1891449625. It was assigned to this individual provider in the NPPES registry on February 10, 2022. The provider is also known as Alicia Larae Lewellen Rn.
Where is Alicia Lake located?
Alicia Lake practices at 6500 Hospital Dr, Hannibal, MO 63401. The listed phone number is (573) 629-3300.
What is Alicia Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Lake enrolled in Medicare?
Yes. Alicia 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 Alicia Lake affiliated with any hospitals?
According to CMS data, Alicia Lake is affiliated with Hannibal Regional Hospital.
When was this NPI record last updated?
The NPPES record for Alicia Lake was last updated on February 10, 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.
# Alicia Larae Lake, MSN, NP-C · NPI 1891449625
Family physician in Hannibal, Missouri. Individual provider, active in the CMS NPPES registry since February 10, 2022.
## Identity
- **NPI:** 1891449625 (Entity type: Individual)
- **Enumerated:** February 10, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2021023511 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 HOSPITAL DR, Hannibal, MO 63401-6890
- **Phone:** (573) 629-3300 · **Fax:** (573) 629-3314
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1891449625) · Data from the CMS NPPES public registry.