Provider Profile

Stacey M. Lake, NP

Unclaimed Profile

About Stacey Lake

Listed in the NPI registry as a nurse practitioner — primary care, Stacey M. Lake, NP practices in Holladay, UT. Stacey is also listed as specializing in nurse practitioner — family and nurse practitioner. Medicare claims data shows Stacey provided 311 services to 232 patients. The services billed most often include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2023

Specialty

Nurse Practitioner — Primary Care (Primary)
Nurse Practitioner (Additional)
Nurse Practitioner — Primary Care (Additional)

Credentials & Licensing

UT license5641317-4405
NPI1154003473
NPI issued08/04/2023

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Stacey M. Lake specialize in?

Stacey M. Lake is a nurse practitioner in Holladay, UT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Primary Care”.

NPI registry

Where is Stacey M. Lake located?

Stacey M. Lake is listed at 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Stacey M. Lake's phone number?

The number on file is (801) 268-2584. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Stacey M. Lake?

Stacey M. Lake's National Provider Identifier is 1154003473. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Stacey M. Lake train?

Stacey M. Lake attended Other, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Stacey M. Lake have?

Stacey M. Lake has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

What does Stacey M. Lake do most often?

According to Medicare billing data, Stacey M. Lake provides treatments such as influenza vaccine split virus, preservative free and pneumococcal conjugate vaccine, 20 valent , for intramuscular use, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Stacey M. Lake's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Stacey M. Lake. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.