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AMY LAKE NP
NPI 1962966341
Nurse Practitioner - Family in Indianapolis, IN

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
7120 CLEARVISTA DR STE 4000, INDIANAPOLIS, IN 46256(317) 621-7444(317) 621-3150 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Apr 30, 2019, Jan 30, 2019 (3 updates tracked since 2019).

About Amy Lake Np NPPES

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

AMY LAKE NP (NPI 1962966341) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71008912A) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962966341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY LAKECredential: NP
Location Address7120 CLEARVISTA DR STE 4000Indianapolis, IN 46256-1774
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547
Phone(317) 621-7444
Fax(317) 621-3150
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 30, 2019
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1962966341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71008912A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28191217A (IN)
7120 CLEARVISTA DR STE 4000, Indianapolis, IN 46256
Open in Google Maps ↗

Other Identifiers 1

Medicaid300024589IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Amy Lake Np 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 ID9739422288
PECOS Enrollment IDI20190523002607
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 8

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

JULIA COLLINS KEARNEY M.D.
Obstetrics & Gynecology
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
JESSICA MEICHTRY
Obstetrics & Gynecology
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
DR. EMILY ELAINE TENBRINK M.D.
Obstetrics & Gynecology
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
CAROLINE MARGARET CIANFROCCO APRN, WHNP-BC
Nurse Practitioner (Women's Health)
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
DIANA M PATTERSON MD
Obstetrics & Gynecology
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
DR. GRETA WEAVER MD
Obstetrics & Gynecology
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
SARAH E POEHLEIN NP
Nurse Practitioner (Family)
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-7444
PENNY SOKOL NP
Nurse Practitioner (Family)
7120 CLEARVISTA DR STE 4000
INDIANAPOLIS, IN 46256
Marion County (317) 621-2312

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 Amy Lake's NPI number?

The NPI number for Amy Lake is 1962966341. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Amy Lake located?

Amy Lake practices at 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256. The listed phone number is (317) 621-7444.

What is Amy Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Lake enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Lake accept?

Health plans from CareSource list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Lake was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.