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Active NPI 1265039424 Individual Practitioner Female Practitioner

Catherine Dettelbach Lake , FNP-C

Nurse Practitioner • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Catherine Dettelbach Lake, FNP-C is a certified Nurse Practitioner practicing in Jacksonville, FL. With approximately 6 years of clinical experience since completing medical education in 2020, Catherine Dettelbach Lake delivers high-quality medical care to the local community at 915 W MONROE ST STE 200.

Catherine Dettelbach Lake is affiliated with Northeast Florida Endocrine And Diabetes Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 W Monroe St Ste 200

Jacksonville, FL 322041177

Telephone 9043842240
Fax 9044862314
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dettelbach Lake (6 Years) 6 Yrs
Jacksonville Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
531 297 $130.00 $65.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes
439 271 $70.00 $41.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
123 120 $240.89 $109.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
87 85 $355.00 $144.84

Medical Specialties & State Licenses

CMS Verified: 2025-01-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11006998

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License FL APRN11006998

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License FL APRN11006998

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL APRN11006998

Definition to come...

Hospital & Practice Group Affiliations

Northeast Florida Endocrine And Diabetes Associates Pa

915 W Monroe St, Jacksonville, FL 322041177

Phone: 9043842240

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rodel Gloria , APRN

Nurse Practitioner

NPI 1023181245

Advanced Practice Registered Nurse

Nina Reigler , PA

Physician Assistant

NPI 1023541570

Physician Assistant

NPI 1043271653

Doctor of Podiatric Medicine

Crystal Gonzalez , APRN

Nurse Practitioner

NPI 1043752249

Advanced Practice Registered Nurse

Grant Freiberg , APRN

Nurse Practitioner

NPI 1083207351

Advanced Practice Registered Nurse

Amanda Mazzella

Physician Assistant

NPI 1093474835

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2025

Nurse Practitioner (License #APRN11006998 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2023

Nurse Practitioner (License #APRN11006998 in FL)

📍
Updated Practice Location December 10, 2021

Registered at 915 W MONROE ST STE 200, JACKSONVILLE, FL 322041177 (Tel: 9043842240)

📍
Updated Business Mailing Address December 10, 2021

Registered at 915 W MONROE ST STE 200, JACKSONVILLE, FL 322041177 (Tel: 9043842240)

NPI Profile Active October 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2020

Registered at 3411 SHENANDOAH DR W, ORANGE PARK, FL 320736631 (Tel: 9042944512)

📍
Updated Business Mailing Address October 01, 2020

Registered at 3411 SHENANDOAH DR W, ORANGE PARK, FL 320736631 (Tel: 9042944512)

👤
Provider Name / Credentials Updated October 01, 2020

Recorded as CATHERINE DETTELBACH LAKE, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Nurse Practitioner (License #APRN11006998 in FL)

🟢
Initial NPI Registration & Enumeration October 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265039424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2020
Last Update: January 21, 2025
Sole Proprietor: No

Mailing Address

915 W Monroe St Ste 200

Jacksonville, FL 322041177

Phone: 9043842240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.