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MARY MACKENZIE LANE-PEOT DNP
NPI 1144110768
Nurse Practitioner - Family in Tomah, WI

Active since July 07, 2025PECOS EnrolledAccepts Medicare Assignment
501 GOPHER DR, TOMAH, WI 54660(608) 372-2181 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Mackenzie Lane-peot Dnp NPPES

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

MARY MACKENZIE LANE-PEOT DNP (NPI 1144110768) is an individual family provider in Tomah, Wisconsin, licensed in Wisconsin (17025-33) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Tomah Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144110768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MACKENZIE LANE-PEOTCredential: DNP
Location Address501 GOPHER DRTomah, WI 54660-4513
Mailing Address902 W Veterans StTomah, WI 54660-2903 · (608) 343-2443
Phone(608) 372-2181
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1144110768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 17025-33
501 GOPHER DR, Tomah, WI 54660
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Mary Mackenzie Lane-peot Dnp 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 ID5294233128
PECOS Enrollment IDI20250811001609
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.

Hospital Affiliations CMS Care Compare

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

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

ALEXANDER MORGAN OTR/L
Occupational Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8354
KIMBERLY ANN TOZER CRNA
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
CAITLIN ANNE CALIRI DPT
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8368
DR. DYLANA PAIGE SCHREINER PT, DPT
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8740
AGNIESZKA DENDURA
Nurse Practitioner
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 371-2181
TOMAH MEMORIAL HOSPITAL INC
Non-Pharmacy Dispensing Site
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
PAYTON MARIE DEMEYER SLP
Speech-Language Pathologist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8372
TOMAH MEMORIAL HOSPITAL INC
General Acute Care Hospital (Critical Access)
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181

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 Mary Lane-peot's NPI number?

The NPI number for Mary Lane-peot is 1144110768. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Mary Lane-peot located?

Mary Lane-peot practices at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 372-2181.

What is Mary Lane-peot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Lane-peot enrolled in Medicare?

Yes. Mary Lane-peot 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.

What insurance does Mary Lane-peot accept?

Health plans from Medica list Mary Lane-peot 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.

Is Mary Lane-peot affiliated with any hospitals?

According to CMS data, Mary Lane-peot is affiliated with Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Lane-peot was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.