Stacey Mills Lake, NP
NPI 1154003473ActiveIndividual· Nurse Practitioner, Primary Care· Holladay, UT
Nurse Practitioner, Primary Care (NP) with Granger Medical Clinic PC, practicing in Holladay, Utah. Their prescriptions cost Medicare Part D more than their services did: $117,579 for 1,310 claims, against $36,153 paid for services in 2024. Ucb, Inc. was the largest of 26 companies reporting payments in 2025, $1,553 in all, mostly food and beverage. Lists St Mark's Hospital as a hospital affiliation.
Overview
| NPI | 1154003473 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 4, 2023 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 5641317-4405 | UT |
| Nurse Practitioner, Family | 363LF0000X | 5641317-4405 | UT |
| Nurse Practitioner | 363L00000X | 5641317-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 2,159 across 33 procedure codes |
| Paid by Medicare | $36,153 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,310 · 2,633 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $117,579 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Granger Medical Clinic PCWest Valley City, UT · 193 clinicians
Hospital affiliation
- St Mark's HospitalSalt Lake City, UT
Industry payments (Open Payments)
- 2025$1,553 · 77 payments from 26 companies
- 2024$1,723 · 74 payments from 27 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $199.22 | 9 |
| Abbvie Inc. | $181.92 | 8 |
| Novo Nordisk Inc | $146.05 | 4 |
| Amgen Inc. | $136.63 | 9 |
| Viiv Healthcare Company | $127.31 | 6 |
What the 2025 payments were for
- Food and Beverage$1,553 · 77 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records