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

Dr. Katelyn Marie Lake, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1811631898

Dr. Katelyn Marie Lake, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with Lakeland Hospitals at Niles and St Joseph Inc, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
4
Licensed in
IN, MI
In the registry since
2022
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1087
Phone: (574) 647-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1234 Napier Ave, Saint Joseph, MI 49085-2112 — (269) 983-8536

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 138174 (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 138174 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 28229724A (IN)

Record details

NPI number1811631898
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeland Hospitals At Niles And St Joseph Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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