Dr. Katelyn Marie Lake is a South Bend, Indiana based nurse anesthetist with 3 years of experience as Nurse Anesthetist. She completed she graduation in 2022. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Katelyn Marie Lake is 138174 for Anesthesia Administration in Indiana. Her current practice location is 615 N Michigan St, South Bend. Patients can reach her at 574-647-1000. Dr. Katelyn Marie Lake is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1811631898. Dr. Katelyn Marie Lake is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Dr. Katelyn Marie Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
3+ years
Medical School Attended:
Other
Graduation Year:
2022
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
615 N Michigan St, South Bend, Indiana, 46601-1087
Phone:
574-647-1000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9335526391
Enrollment ID:
I20220512000287
NPI Number:
1811631898
NPI Enumeration Date:
25 Apr, 2022
NPI Last Update On:
08 May, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katelyn Marie Lake are as mentioned below.
License Number
Specialization
State
Status
138174
Anesthesia Administration
Indiana
Primary
28229724A
Registered Nurse
Indiana
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Memorial Hospital Of South Bend (150058)
South bend, IN
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Katelyn Marie Lake has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southeast Anesthesiologists, Inc. (6800837980)
105
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
50778 Sturdy Oak Ct, Granger, Indiana
Zip:
46530-6727
Phone Number:
219-405-7898
Fax Number:
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Patients can reach Dr. Katelyn Marie Lake at 615 N Michigan St, South Bend, Indiana or can call to book an appointment on 574-647-1000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.