Doctor profile · Federal record
Dr. Katelyn Lake, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · South Bend, IN
- NPI 1811631898
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
615 N Michigan St
South Bend, IN 466011087
(574) 647-1000 - Mailing address
-
50778 Sturdy Oak CT
Granger, IN 465306727
Credentials & registration
- NPI registered
- April 2022 — 4 yrs on file
- Profile last updated
- May 8, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Indiana #138174 · Indiana #28229724A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811631898. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$467
Transactions
11
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ShockWave Medical, Inc | 11 | $466.65 |
By nature of payment
Frequently asked questions
What is Dr. Katelyn Lake's medical specialty?
Dr. Katelyn Lake practices Certified Registered Nurse Anesthetist in South Bend, IN.
Where does Dr. Katelyn Lake practice?
Dr. Katelyn Lake practices at 615 N Michigan St, South Bend, IN 466011087. Office phone: 5746471000.
What is Dr. Katelyn Lake's NPI?
Dr. Katelyn Lake's National Provider Identifier (NPI) is 1811631898, issued by NPPES.
Does Dr. Katelyn Lake accept Medicare assignment?
Yes. Dr. Katelyn Lake accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.