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JEFFERY DALE LANE CRNA
NPI 1104129139
Nurse Anesthetist, Certified Registered in Lumberton, NC

Active since December 14, 2010Accepts Medicare Assignment
300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeffery Dale Lane Crna NPPES

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

JEFFERY DALE LANE CRNA (NPI 1104129139) is an individual nurse anesthetist, certified registered in Lumberton, North Carolina, licensed in North Carolina (176399) and active in the NPI registry since December 2010. He is affiliated with Mcleod Loris Hospital and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104129139
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEFFERY DALE LANECredential: CRNA
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address5210 Mcleod RdLumberton, NC 28358-8509 · (910) 671-3671
Phone(910) 671-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 14, 2010
✔ NPI 1104129139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 176399
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
300 W 27TH ST, Lumberton, NC 28358
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffery Dale Lane Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123216355
PECOS Enrollment IDI20180302001350

Medicare Billing Reassignments

4

Medicare enrollment records show Jeffery Lane reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Loris Seacoast Hospital
40 mi
Nurse Anesthetist, Certified Registered
3655 MITCHELL ST
Loris, SC 29569
  • Reassigned Medicare billing, South Carolina enrollment
  • 240 clinicians in this Medicare group
NPI 1265708119 (843) 716-7000
Mcleod Physician Associates II
52 mi
Psychiatry
701 CASHUA FERRY RD
Darlington, SC 29532
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1629189766 (843) 777-4217
Atlantic Coast Anesthesia Services P.C.
62 mi
Anesthesiology
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Atlantic Coast Anesthesia Services PC
  • 258 clinicians in this Medicare group
NPI 1932641313 (843) 692-1000
Beach Anesthesia, LLC
62 mi
Anesthesiology
1021 MEDICAL CIRCLE, SUITE 100
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 272 clinicians in this Medicare group
NPI 1215061429 (843) 692-1062

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
116 services112 patients
Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
48 services46 patients
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918
This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.
29 services28 patients
Anesthesia for shock wave therapy for urinary system stones without water bath 00873
Anesthesia for shock wave therapy helps in comfortably breaking down urinary system stones. This is done without a water bath, using a device that sends shock waves to disintegrate the stones into small pieces, making them easier to pass naturally.
17 services17 patients
Anesthesia for removal of urinary bladder tumors including use of an endoscope 00912
This procedure involves the use of anesthesia to ensure comfort while an endoscope, a thin tube with a light and camera, is used to identify and remove abnormal growths in the bladder. It's a minimally invasive approach to maintain bladder health.
13 services13 patients
Anesthesia for removal of prostate including use of an endoscope 00914
Anesthesia is used during the removal of the prostate to ensure you feel no discomfort. An endoscope, a thin tube with a camera, aids in viewing the area. This procedure involves the careful administration of medicines to help you sleep and prevent pain.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

SOUTHEASTERN REGIONAL MEDICAL CENTER
Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5290
MADHU SUDAN BHATTARAI
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ARSLAN FAHIM D.O., M.P.H.
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 272-1230
AMY L ROBERTS CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (843) 661-6215
CHARLES A WOOLLEY CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ASHLEY GREEN RD, LDN
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
MR. HUBERT M CZARNECKI MD
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000

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 Jeffery Lane's NPI number?

The NPI number for Jeffery Lane is 1104129139. It was assigned to this individual provider in the NPPES registry on December 14, 2010.

Where is Jeffery Lane located?

Jeffery Lane practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5000.

What is Jeffery Lane's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeffery Lane enrolled in Medicare?

Yes. Jeffery Lane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeffery Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Lane reassigns Medicare benefits to 4 organizations: Mcleod Loris Seacoast Hospital (Loris, SC), Mcleod Physician Associates II (Darlington, SC), Atlantic Coast Anesthesia Services P.C. (Myrtle Beach, SC) and Beach Anesthesia, LLC (Myrtle Beach, SC). Each 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 Jeffery Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffery Lane affiliated with any hospitals?

According to CMS data, Jeffery Lane is affiliated with Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Jeffery Lane was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.