Mrs Melissa Marie Lake, CRNA - Medicare Nurse Anesthetist, Certified Registered in St Louis Park, MN

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Mrs Melissa Marie Lake, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St Louis Park, Minnesota. Her current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5222.

Mrs Melissa Marie Lake is licensed to practice in North Carolina (license number 7365) 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 1275961682.

Contact Information

Mrs Melissa Marie Lake, CRNA
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702
(952) 993-5222
Not Available

Map and Direction




Provider's Profile

Full NameMrs Melissa Marie Lake
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275961682
  • Provider Enumeration Date: 10/22/2013
  • Last Update Date: 09/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991933541
  • Enrollment ID: I20140106001410

Medical Identifiers

Medical identifiers for Mrs Melissa Marie Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275961682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 198 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 7365 (North Carolina)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. Mrs Melissa Marie Lake allows following entities to bill medicare on her behalf.
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524
Entity NameCertified Anesthesia Care Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699736348
PECOS PAC ID: 9436439114
Enrollment ID: O20161215001488

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. Mrs Melissa Marie 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
Mrs Melissa Marie Lake, CRNA
6055 Westbrook Rd,
Golden Valley, MN 55422-3335

Ph: (773) 469-1872		Mrs Melissa Marie Lake, CRNA
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 993-5222

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in St Louis Park, MN

Lindsey Marie Knapp, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Ms. Susan J Bermel, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, Anesthesiology, St Louis Park, MN 55426
Phone: 952-993-5222    
Adrienne Backus,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Frank A Jirik,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Carie Voges,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Joseph Stephen Henefield,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5222    Fax: 952-993-6499
Janet Moore,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5222    

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.