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

Amy Lake, NP

Individual provider Family Nurse Practitioner · NPI 1962966341

Amy Lake, NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7120 Clearvista Dr Ste 4000
Indianapolis, IN 46256-1774
Phone: (317) 621-7444
Fax: (317) 621-3150
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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 71008912A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28191217A (IN)

Record details

NPI number1962966341
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESNovember 27, 2023
Certification dateOctober 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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