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

Mrs. Melissa Marie Lake, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1275961682

Mrs. Melissa Marie Lake, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in St Louis Park, Minnesota. Qualified in 2013, 13 years ago. Practices with Novant Health New Hanover Regional Medical Center LLC, a 197-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
13
Licensed in
MN, NC
In the registry since
2013
Specialties on file
2
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

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 E 28th St, Minneapolis, MN 55407-3723 — (612) 863-4000
  • 2855 Campus Dr, Plymouth, MN 55441-2649 — (763) 577-7240

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 7365 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 198 (MN)

Record details

NPI number1275961682
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 22, 2013
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novant Health New Hanover Regional Medical Center Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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