Michelle Lake, - Medicare Nurse Practitioner in Davenport, IA

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Michelle Lake, is a medicare enrolled "Nurse Practitioner - Acute Care" in Davenport, Iowa. Her current practice location is 1236 E Rusholme St Ste 300, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (800) 382-0707.

Michelle Lake is licensed to practice in Iowa (license number H171781) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033838826.

Contact Information

Michelle Lake,
1236 E Rusholme St Ste 300,
Davenport, IA 52803-2484
(800) 382-0707
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Lake
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1236 E Rusholme St Ste 300, Davenport, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033838826
  • Provider Enumeration Date: 08/24/2022
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991181711
  • Enrollment ID: I20230802003296

Medical Identifiers

Medical identifiers for Michelle Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033838826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041439972 (Illinois)Secondary
163W00000XRegistered Nurse 141908 (Iowa)Secondary
363LA2100XNurse Practitioner - Acute Care H171781 (Iowa)Primary

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. Michelle Lake allows following entities to bill medicare on her behalf.
Entity NameCardiovascular Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982632907
PECOS PAC ID: 2264334721
Enrollment ID: O20040322001926

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. Michelle 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 AddressPractice Location Address
Michelle Lake,
11 Westwood Dr,
Geneseo, IL 61254-9584

Ph: (309) 507-2367		Michelle Lake,
1236 E Rusholme St Ste 300,
Davenport, IA 52803-2484

Ph: (800) 382-0707

Reviews and Comments


Nurse Practitioner Nurses in Davenport, IA

Julia Christine Sass, ARNP, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1441 W Central Park Ave, Davenport, IA 52804
Phone: 563-383-1900    
Rachel Diane Hart, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2010 E 38th St Ste 205, Davenport, IA 52807
Phone: 319-800-5564    
Shanna R Spies, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2705 E 53rd St, Davenport, IA 52807
Phone: 563-362-3052    Fax: 563-362-3059
Mrs. Andrea R Archer, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1227 E Rusholme St, Davenport, IA 52803
Phone: 563-421-7198    Fax: 563-421-7159
Kerry Bramlett, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1351 W Central Park Ave, Davenport, IA 52804
Phone: 563-421-1000    
Marissa Amidon, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1227 E Rusholme St, Davenport, IA 52803
Phone: 563-421-1000    
Julia A Hull, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1351 W Central Park Ave, Suite 360, Davenport, IA 52804
Phone: 563-421-4244    Fax: 563-421-4285

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.