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

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: November 01, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Judy Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preventive Medical Center Of Marin Inc
0.1 mi
Primary Care
4340 REDWOOD HWY STE AA
San Rafael, CA 94903
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1912067828 (415) 472-2343

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Judy Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Lane reassigns Medicare benefits to Preventive Medical Center Of Marin Inc (San Rafael, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.