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

Windsor M. Lake

Individual provider Family Nurse Practitioner · NPI 1770984163

Windsor M. Lake is a Nurse Practitioner in Springfield, Missouri. Qualified in 2014, 12 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
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Practice location Address checks out

1229 E Seminole St Ste 220
Springfield, MO 65804-2227
Phone: (417) 820-5150
Fax: (417) 820-5155
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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 2014028414 (MO)

Record details

NPI number1770984163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2014
Last updated in NPPESSeptember 4, 2014
Mailing addressPo Box 505164, Saint Louis, MO 63150-5164

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield