Stacey Mills Lake , NP
Nurse Practitioner - Primary Care • Holladay, UT
Professional Overview & Biography Verified Profile Summary
Stacey Lake, NP is a certified Nurse Practitioner - Primary Care practicing in Holladay, UT. With approximately 3 years of clinical experience since completing medical education in 2023, Stacey Lake delivers high-quality medical care to the local community at 999 E MURRAY HOLLADAY RD STE 207.
Stacey Lake is affiliated with Granger Medical Clinic Pc and accepts Medicare assignment.
Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
999 E Murray Holladay Rd Ste 207
Holladay, UT 841175093
Medicare Profile & Education
Other
2023
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Primary Care in Holladay, UT
Practicing in Holladay, UT (95 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
74 | 42 | $39.80 | $12.97 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
74 | 39 | $239.00 | $100.49 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
51 | 39 | $154.00 | $73.33 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
35 | 35 | $229.00 | $104.61 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
29 | 29 | $35.00 | $15.06 |
|
G0008
Administration of influenza virus vaccine
|
13 | 13 | $44.00 | $30.87 |
|
90662
Influenza vaccine split virus, preservative free
|
13 | 13 | $71.92 | $69.62 |
|
G0009
Administration of pneumococcal vaccine
|
11 | 11 | $44.00 | $30.87 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
11 | 11 | $402.00 | $291.24 |
Medical Specialties & State Licenses
CMS Verified: 2025-01-22NUCC Taxonomy Code: 363LP2300X
Definition to come...
NUCC Taxonomy Code: 363LF0000X
Definition to come...
NUCC Taxonomy Code: 363L00000X
(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.
Hospital & Practice Group Affiliations
Granger Medical Clinic Pc
12391 S 4000, Riverton, UT 840967012
Phone: 8013021700
Granger Medical Clinic Pc
999 E Murray Holladay Rd, Salt Lake City, UT 841174901
Phone: 8012682584
Granger Medical Clinic Pc
2965 W 3500, West Valley City, UT 841193602
Phone: 8019653600
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2965 W 3500 S, WEST VALLEY CITY, UT 841193602 (Tel: 8019653600)
Registered at 7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT 840844312 (Tel: 8019653600)
NPI status registered as active in NPPES database
Registered at 999 E MURRAY HOLLADAY RD STE 207, HOLLADAY, UT 841175093 (Tel: 8012682584)
Registered at 2707 E PARTRIDGE CV, SANDY, UT 840932832 (Tel: 8015027347)
Recorded as STACEY LAKE, NP
Nurse Practitioner (License #5641317-4405 in UT)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2965 W 3500 S
West Valley City, UT 841193602
Phone: 8019653600
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.