TINA NICHOLE LANE FNP
NPI 1104470772
Nurse Practitioner in Lees Summit, MO

Q: What is Tina Lane's NPI number?

The NPI number for Tina Lane is 1104470772. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Q: What is Tina Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Lane was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 31, 2019PECOS EnrolledAccepts Medicare Assignment

400 SW LONGVIEW BLVD STE 200, LEES SUMMIT, MO 64081(913) 215-5008 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2020, Mar 4, 2020, Jul 31, 2019 (3 updates tracked since 2019).

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About Tina Nichole Lane Fnp NPPES

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

TINA NICHOLE LANE FNP (NPI 1104470772) is an individual nurse practitioner in Lees Summit, Missouri, licensed in Missouri (2019043201) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lees Summit, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104470772

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTINA NICHOLE LANECredential: FNP

Location Address400 SW LONGVIEW BLVD STE 200Lees Summit, MO 64081-2116

Mailing Address400 Sw Longview Blvd Ste 200Lees Summit, MO 64081-2116 · (913) 215-5008

Phone(913) 215-5008

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 31, 2019

Last NPPES UpdateOctober 25, 20213 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1104470772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2019043201

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 135267 (MO)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2019043201 (MO)

400 SW LONGVIEW BLVD STE 200, Lees Summit, MO 64081

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Secondary Practice Location 1

Location 12915 NE Viewpark CirLees Summit, MO 64086-7104 · Phone (816) 914-5052

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina Nichole Lane Fnp 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 ID7810325099

PECOS Enrollment IDI20200323000630, I20200323000706

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services28 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

33 services31 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64081 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier21 claims21 services$22.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. CHRISTINA CHENG

Family Medicine