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

Scott Andrew Lake, CNP

Individual provider Registered Nurse · NPI 1487000386

Scott Andrew Lake, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2016, 10 years ago. Practices with Osu Surgery, LLC, a 204-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8133
Fax: (614) 366-5285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.019790 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.410924 (OH)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN.CNP.019790 (OH)

Record details

NPI number1487000386
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Osu Surgery, Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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