NPPES file of Aug 9, 2026

Jerice Lake

Pediatric Nurse Practitioner · Mesa, AZ

Jerice Lake is a pediatric nurse practitioner with a practice address in Mesa, Arizona, and NPI 1154878072, issued on Sep 8, 2016. Check the license (Arizona 264646, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154878072
Name
Jerice Lake
Primary taxonomy
Pediatric Nurse Practitioner 363LP0200X
License numbers
264646 AZ
RN198973 AZ
Self-reported in NPPES; status is on the state search
Practice location
2343 W Main St, Mesa, AZ 85201
Phone
(340) 642-4597
Enumerated
Sep 8, 2016
Record last updated
Feb 28, 2022
Medicare enrollment
Enrolled (PECOS I20220413002729); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest pediatric nurse practitioner records → All 435 in Arizona → Look up another NPI →

Also registered at 2343 W Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Katie WitchleySpeech-Language Assistant1750738456

Verify Jerice Lake in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 264646    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Seattle Childrens HospitalSeattle, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jerice Lake among 435 pediatric nurse practitioner records in Arizona

Jerice Lake is one of 435 pediatric nurse practitioner records with a practice address in Arizona. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 57% of them.

  • NPI issued2016 · 57% of these records are older, 40% newer
  • In a Medicare fileYes · 43% of these records are
  • In the CMS Doctors and Clinicians fileYes · 16% of these records are
  • Graduated2021 · median 2019 among the 68 with a school on file
  • Record last updated2022 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0200X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Nurse Practitioner providers in Arizona

There are 435 pediatric nurse practitioner records in Arizona.

All 435 in Arizona → Every provider in Mesa → Pediatric Nurse Practitioner nationwide →

The 8 pediatric nurse practitioner records with the nearest ZIP codes

  1. Alejandra Berardinelli, PNP-PCMesa, AZ 852021093452427
  2. Nicholette Breier-Adkins, NPMesa, AZ 852021518286210
  3. Angela Cabrera, CRNP (PNP-PC)Mesa, AZ 852021245375955
  4. Becki Ewy, CPNP-PCMesa, AZ 852021578167607
  5. Laura Fleming, CPNPMesa, AZ 852021770731507
  6. Courtney Howell, PNPMesa, AZ 852021225161763
  7. Samita Khara, CPNP-PCMesa, AZ 852021487224382
  8. Loriann Lang, CPNPMesa, AZ 852021184164808

Common questions

What is Jerice Lake's NPI number?

Jerice Lake's National Provider Identifier (NPI) is 1154878072, issued on Sep 8, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Jerice Lake located?

The NPPES record lists a practice address at 2343 W Main St, Mesa, AZ, 85201. Phone: (340) 642-4597. Providers update this record themselves, so call before visiting.

How can I verify Jerice Lake's license?

NPPES lists Arizona license number 264646, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.