MRS. KELLY M LANE LCPC
NPI 1124474119
Counselor - Professional in Sedgwick, KS
About Mrs. Kelly M Lane Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY M LANE LCPC (NPI 1124474119) is an individual professional provider in Sedgwick, Kansas, licensed in Kansas (03759) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Mrs. Kelly M Lane Lcpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita, KS 67203
- Reassigned Medicare billing, Kansas enrollment
- 93 clinicians in this Medicare group
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 Kelly Lane's NPI number?
The NPI number for Kelly Lane is 1124474119. It was assigned to this individual provider in the NPPES registry on May 9, 2016.
Where is Kelly Lane located?
Kelly Lane practices at 21910 W 113th St N, Sedgwick, KS 67135. The listed phone number is (316) 217-3865.
What is Kelly Lane's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelly Lane enrolled in Medicare?
Yes. Kelly 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 organization bills Medicare for Kelly Lane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lane reassigns Medicare benefits to County Of Sedgwick (Wichita, KS). 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 Kelly Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Lane accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Kelly 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 Kelly Lane was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Kelly M Lane, LCPC · NPI 1124474119
Professional provider in Sedgwick, Kansas. Individual provider, active in the CMS NPPES registry since May 9, 2016.
## Identity
- **NPI:** 1124474119 (Entity type: Individual)
- **Enumerated:** May 9, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 03759 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21910 W 113TH ST N, Sedgwick, KS 67135-9577
- **Phone:** (316) 217-3865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Sedgwick (NPI 1629281373, Wichita, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124474119) · Data from the CMS NPPES public registry.