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JEFFERY LANE JR. AU.D.
NPI 1104318997
Audiologist in Flagstaff, AZ

Active since June 06, 2018
1330 N RIM DR STE B, FLAGSTAFF, AZ 86001(928) 522-0500(855) 433-1122 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeffery Lane Jr. Au.d. NPPES

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

JEFFERY LANE JR. AU.D. (NPI 1104318997) is an individual audiologist in Flagstaff, Arizona and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1104318997
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameJEFFERY LANE JR.Credential: AU.D.
Location Address1330 N RIM DR STE BFlagstaff, AZ 86001-3138
Mailing Address2700 S Woodlands Village Blvd Ste 300-409Flagstaff, AZ 86001-7114 · (928) 522-0500 · Fax (855) 433-1122
Phone(928) 522-0500
Fax(855) 433-1122
Sole ProprietorNo
Enumeration DateJune 6, 2018
✔ NPI 1104318997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1330 N RIM DR STE B, Flagstaff, AZ 86001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffery Lane Jr. Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Trinity Hearing Center, Inc.
Same address
Audiologist
1330 N RIM DR, SUITE B
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1770857781 (928) 522-0500

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

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 1104318997. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Jeffery Lane located?

Jeffery Lane practices at 1330 N Rim Dr Ste B, Flagstaff, AZ 86001. The listed phone number is (928) 522-0500.

What is Jeffery Lane's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Jeffery Lane enrolled in Medicare?

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

Which organization bills Medicare for Jeffery Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Lane reassigns Medicare benefits to Trinity Hearing Center, Inc. (Flagstaff, AZ). 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 Jeffery Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffery Lane accept?

Health plans from Blue Cross Blue Shield of Arizona list Jeffery Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffery Lane was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.