Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Larae Lake, MSN, NP-C

Individual provider Family Nurse Practitioner · NPI 1891449625

Alicia Larae Lake, MSN, NP-C is a Nurse Practitioner in Hannibal, Missouri. Qualified in 2021, 5 years ago. Practices with Hannibal Regional Healthcare System Inc, a 259-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3300
Fax: (573) 629-3314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021023511 (MO)

Record details

NPI number1891449625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , NP-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hannibal Regional Healthcare System Inc — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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