RACHAEL NICOLE LANE DO
NPI 1205464955
Family Medicine in Norton Shores, MI

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
6401 PRAIRIE ST STE 2600, NORTON SHORES, MI 49444(231) 672-7900(231) 672-7931 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Oct 7, 2022, Mar 30, 2020 (3 updates tracked since 2020).

About Rachael Nicole Lane Do NPPES

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

RACHAEL NICOLE LANE DO (NPI 1205464955) is an individual family medicine provider in Norton Shores, Michigan, licensed in Michigan (5151014224) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1205464955
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHAEL NICOLE LANECredential: DO
Location Address6401 PRAIRIE ST STE 2600Norton Shores, MI 49444-7842
Mailing Address6401 Prairie St Ste 2600Norton Shores, MI 49444-7842 · (231) 672-7900 · Fax (231) 672-7931
Fax(231) 672-7931
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
NPI 1205464955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5151014224
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6401 PRAIRIE ST STE 2600, Norton Shores, MI 49444

Other Names 1

Former Name (1)Rachael Nicole Folkmier-lane Do

Accepted 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

Rachael Nicole Lane Do 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 ID9133580970
PECOS Enrollment IDI20230726003350
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 3

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.
112 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

Family Medicine
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Physician Assistant
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Family Medicine
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Nurse Practitioner (Family)
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Physician Assistant
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Family Medicine
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444

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 Rachael Lane's NPI number?

The NPI number for Rachael Lane is 1205464955. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Rachael Nicole Folkmier-Lane Do.

Where is Rachael Lane located?

Rachael Lane practices at 6401 Prairie St Ste 2600, Norton Shores, MI 49444. The listed phone number is (231) 672-7900.

What is Rachael Lane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rachael Lane enrolled in Medicare?

Yes. Rachael 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.

What insurance does Rachael Lane accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Rachael 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.

Is Rachael Lane affiliated with any hospitals?

According to CMS data, Rachael Lane is affiliated with Trinity Health Muskegon Hospital and Trinity Health Grand Haven Hospital.

When was this NPI record last updated?

The NPPES record for Rachael Lane was last updated on November 2, 2023. 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.