NICOLE R LANE CRNA
NPI 1114468527
Nurse Anesthetist, Certified Registered in Lees Summit, MO

Q: What is Nicole Lane's NPI number?

The NPI number for Nicole Lane is 1114468527. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Q: What is Nicole Lane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Lane was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 March 17, 2017PECOS EnrolledAccepts Medicare Assignment

2100 SE BLUE PKWY, LEES SUMMIT, MO 64063(816) 282-5000(913) 428-2951 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2026, Nov 24, 2020, Sep 15, 2017 and 3 more (6 updates tracked since 2017).

On this page

About Nicole R Lane Crna NPPES

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

NICOLE R LANE CRNA (NPI 1114468527) is an individual nurse anesthetist, certified registered in Lees Summit, Missouri, licensed in Missouri (2021007302) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Lee's Summit Medical Center, and maintains a secondary practice location in Shawnee Mission.

NPPES Registry Identity

NPI1114468527

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE R LANECredential: CRNA

Location Address2100 SE BLUE PKWYLees Summit, MO 64063-1007

Mailing Address8717 W 110th St Ste 600Overland Park, KS 66210-2126 · (913) 428-2900 · Fax (913) 428-2951

Phone(816) 282-5000

Fax(913) 428-2951

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 17, 2017

Last NPPES UpdateApril 10, 20266 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1114468527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MO · 2021007302✔ Licensed in KS · 557528

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 2016037397 (MO), 139473 (KS), RN620227 (PA)

2100 SE BLUE PKWY, Lees Summit, MO 64063

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Secondary Practice Location 1

Location 19100 W 74th StShawnee Mission, KS 66204-4004 · Phone (913) 632-2230 · Fax (913) 789-3191

Other Identifiers 4

Medicaid910056108MO

Other55112011KS · Bcbs Kc

Medicaid201170340AKS

OtherP01943603KS · Railroad

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole R 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 ID8729352190

PECOS Enrollment IDI20170922003198, I20210603001150

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 Reassignments

Medicare enrollment records show Nicole Lane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Of Kansas City PA

19 mi

Anesthesiology

8717 W 110TH ST, SUITE 600
Overland Park, KS 66210

Reassigned Medicare billing, Kansas and Missouri enrollments
328 clinicians in this Medicare group

NPI 1174504732 (913) 428-2900

Midwest Anesthesia Associates, PA

20 mi

Anesthesiology

9100 W 74TH ST
Shawnee Mission, KS 66204

Reassigned Medicare billing, Kansas enrollment
157 clinicians in this Medicare group

NPI 1336192392 (913) 632-2230

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 2

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 large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

22 services22 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260190

Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64063 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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.

MR. COLTON MICHAEL BITELY MD

Emergency Medicine