MS. KATHRYN I. LAKE APRN
NPI 1962634980
Nurse Practitioner - Family in Parrish, FL
About Ms. Kathryn I. Lake Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHRYN I. LAKE APRN (NPI 1962634980) is an individual family provider in Parrish, Florida, licensed in Florida (APRN9476735) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Lakewood Ranch Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Ms. Kathryn I. Lake Aprn 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
2Medicare enrollment records show Kathryn Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 19 clinicians in this Medicare group
Tampa, FL 33634
- Reassigned Medicare billing, Florida enrollment
- 315 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakewood Ranch Medical Center
Acute Care Hospitals · Bradenton, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathryn Lake's NPI number?
The NPI number for Kathryn Lake is 1962634980. It was assigned to this individual provider in the NPPES registry on August 10, 2009.
Where is Kathryn Lake located?
Kathryn Lake practices at 8342 Us Highway 301 N, Parrish, FL 34219. The listed phone number is (941) 729-4400.
What is Kathryn Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathryn Lake enrolled in Medicare?
Yes. Kathryn 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 Kathryn Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Lake reassigns Medicare benefits to 2 organizations: Manatee Physician Alliance, LLC (Bradenton, FL) and Optumcare Florida LLC (Tampa, FL). 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 Kathryn Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathryn Lake affiliated with any hospitals?
According to CMS data, Kathryn Lake is affiliated with Lakewood Ranch Medical Center.
When was this NPI record last updated?
The NPPES record for Kathryn Lake was last updated on August 23, 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.
# Ms. Kathryn I. Lake, APRN · NPI 1962634980
Family physician in Parrish, Florida. Individual provider, active in the CMS NPPES registry since August 10, 2009.
## Identity
- **NPI:** 1962634980 (Entity type: Individual)
- **Enumerated:** August 10, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN9476735 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 8342 US HIGHWAY 301 N, Parrish, FL 34219-8653
- **Phone:** (941) 729-4400 · **Fax:** (941) 729-4424
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Manatee Physician Alliance, LLC (NPI 1588970446, Bradenton, FL); Optumcare Florida LLC (NPI 1053384214, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962634980) · Data from the CMS NPPES public registry.