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

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