Dr Katelyn Marie Lake, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Bend, IN

Dr Katelyn Marie Lake, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Bend, Indiana. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lakeland Hospitals At Niles And St Joseph Inc, Southeast Anesthesiologists, Inc. and her current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1000.

Dr Katelyn Marie Lake is licensed to practice in Indiana (license number 138174) 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 1811631898.

Contact Information

Dr Katelyn Marie Lake, CRNA
615 N Michigan St,
South Bend, IN 46601-1087
(574) 647-1000
Not Available

Map and Direction




Provider's Profile

Full NameDr Katelyn Marie Lake
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location615 N Michigan St, South Bend, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Katelyn Marie Lake graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1811631898
  • Provider Enumeration Date: 04/25/2022
  • Last Update Date: 04/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335526391
  • Enrollment ID: I20260421000228

Medical Identifiers

Medical identifiers for Dr Katelyn Marie Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811631898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 138174 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 138174 (Indiana)Primary
163W00000XRegistered Nurse 28229724A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Lakeland Hospital, St JosephSt joseph, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Hospitals At Niles And St Joseph Inc7517929037134
Southeast Anesthesiologists, Inc.680083798091

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. Dr Katelyn 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
Dr Katelyn Marie Lake, CRNA
50778 Sturdy Oak Ct,
Granger, IN 46530-6727

Ph: (219) 405-7898
Dr Katelyn Marie Lake, CRNA
615 N Michigan St,
South Bend, IN 46601-1087

Ph: (574) 647-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Bend, IN

Mrs. Courtney Dunlap, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Ms. Jamie Ann Davidson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635
Phone: 574-360-2619    
Joshua Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-234-8161    
Alvaro Andres Osorio,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Bradley A Davis,
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Mrs. Julie Anne Addis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 53830 Generations Dr, South Bend, IN 46635
Phone: 574-271-0893    
Mr. Jay Biesenthal, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-234-8161    

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.