MS. JUDY LANE N.P., R.N.
NPI 1043420896
Nurse Practitioner - Adult Health in San Rafael, CA

Q: What is Judy Lane's NPI number?

The NPI number for Judy Lane is 1043420896. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Judy Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Judy Lane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2007PECOS Enrolled

25 MITCHELL BLVD, SUITE 8, SAN RAFAEL, CA 94903(415) 472-2343(415) 472-7636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Judy Lane N.p., R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JUDY LANE N.P., R.N. (NPI 1043420896) is an individual adult health provider in San Rafael, California, licensed in California (501901) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043420896

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. JUDY LANECredential: N.P., R.N.

Location Address25 MITCHELL BLVD, SUITE 8San Rafael, CA 94903-2007

Mailing Address30 Marin Valley DrNovato, CA 94949-6806 · (415) 883-3955 · Fax (415) 472-7636

Phone(415) 472-2343

Fax(415) 472-7636

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043420896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 501901

25 MITCHELL BLVD, San Rafael, CA 94903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Judy Lane N.p., R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANN HATHAWAY MD

Family Medicine

25 MITCHELL BLVD, #3
SAN RAFAEL, CA 94903

Marin County (415) 499-0966

SEEMIN ANNA DALLENBACH D.C.

Chiropractor

25 MITCHELL BLVD, SUITE 8
SAN RAFAEL, CA 94903

Marin County (415) 472-2343

MS. KARILEE HALO SHAMES PHD, RN, A-HNC

Registered Nurse (Psychiatric/Mental Health)

25 MITCHELL BLVD, SUITE 8
SAN RAFAEL, CA 94903

Marin County (415) 472-2343

DR. RICHARD L. SHAMES MD

Preventive Medicine (Public Health & General Preventive Medicine)

25 MITCHELL BLVD, #8
SAN RAFAEL, CA 94903

Marin County (415) 472-2343

DR. ELSON M HAAS M.D.

Allergy & Immunology

25 MITCHELL BLVD, SUITE 8
SAN RAFAEL, CA 94903

Marin County (415) 472-2343

ESSENTIAL BALANCE PHYSICAL THERAPY, INC

Physical Therapist

25 MITCHELL BLVD, SUITE 2
SAN RAFAEL, CA 94903

Marin County (415) 924-5700

LAUREN IONE FRIEDEMAN DPT

Physical Therapist

25 MITCHELL BLVD, SUITE 2
SAN RAFAEL, CA 94903

Marin County (415) 924-5700

DR. THOMAS REECE DO

Neuromusculoskeletal Medicine, Sports Medicine

25 MITCHELL BLVD
SAN RAFAEL, CA 94903

Marin County (415) 472-2343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Lane's NPI number?

The NPI number for Judy Lane is 1043420896. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Judy Lane located?

Judy Lane practices at 25 Mitchell Blvd Suite 8, San Rafael, CA 94903. The listed phone number is (415) 472-2343.

What is Judy Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Judy Lane enrolled in Medicare?

Yes. Judy Lane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judy Lane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.