Kristen N Lake, FNP-C in Roseville, CA - Medicare Nurse Practitioner

Kristen N Lake, FNP-C is a medicare enrolled "Nurse Practitioner" in Roseville, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 1620 E Roseville Pkwy, Ste 110, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 797-4715.

Kristen N Lake is licensed to practice in California (license number 95007613) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720527336.

Contact Information

	Kristen N Lake, FNP-C
	1620 E Roseville Pkwy, Ste 110, Roseville, CA 95661-3995
	(916) 797-4715
	(916) 797-4716

Map and Direction

Provider's Profile

Full Name	Kristen N Lake
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1620 E Roseville Pkwy, Roseville, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristen N Lake graduated from nursing school in 2017

NPI Data:

NPI Number: 1720527336
Provider Enumeration Date: 02/15/2017
Last Update Date: 12/16/2023

Medicare PECOS Information:

PECOS PAC ID: 6103184171
Enrollment ID: I20171220001882

Medical Identifiers

Medical identifiers for Kristen N Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720527336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95140746 (California)	Secondary
363L00000X	Nurse Practitioner	95007613 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Roseville Medical Center	Roseville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Valley Medical Foundation	9830094515	1919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen N Lake allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen N Lake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristen N Lake, FNP-C Po Box 255228, Sacramento, CA 95865-5228 Ph: (916) 591-5539	Kristen N Lake, FNP-C 1620 E Roseville Pkwy, Ste 110, Roseville, CA 95661-3995 Ph: (916) 797-4715

Reviews and Comments

Nurse Practitioner Nurses in Roseville, CA

Elizabeth Barbara Willerup, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1643 Eureka Rd, Roseville, CA 95661 Phone: 916-771-7627 Fax: 916-771-7650
Marsha J Montbriand, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414
Mrs. Pantea Nosrat Dunn, MSN PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Dr Ste 225, Roseville, CA 95661 Phone: 916-782-1291 Fax: 916-782-5992
Ms. Linda Rose Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Women's Health , Permanente Medical Group, Roseville, CA 95661 Phone: 916-784-5003
Mrs. Marly R Stubbs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 945 Roseville Pkwy, Suite 150, Roseville, CA 95678 Phone: 916-788-8444 Fax: 916-788-8449
Catherine E Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414
Kimberly S. Newlin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1670 Fax: 916-781-1604

Kristen N Lake, FNP-C - Medicare Nurse Practitioner in Roseville, CA