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CHARITY ANGELA LANE APRN
NPI 1225679558
Nurse Practitioner - Family in Caraway, AR

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
104 WEST STATE ST, CARAWAY, AR 72419(870) 956-0200(870) 895-2164 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Oct 8, 2019 (2 updates tracked since 2019).

About Charity Angela Lane Aprn NPPES

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

CHARITY ANGELA LANE APRN (NPI 1225679558) is an individual family provider in Caraway, Arkansas, licensed in Arkansas (121536) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225679558
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARITY ANGELA LANECredential: APRN
Location Address104 WEST STATE STCaraway, AR 72419-8553
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002 · (870) 856-1202
Phone(870) 956-0200
Fax(870) 895-2164
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 8, 2019
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1225679558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AR · 121536✔ Licensed in TX · 1054179✔ Licensed in TN · 26264
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1054179 (TX)
104 WEST STATE ST, Caraway, AR 72419
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11700 WFM 700, STE BBIG SPRING, TX 79720-4120 · Phone (432) 264-1900
Location 2106 N Van Buren StWeiner, AR 72479-9289 · Phone (870) 605-0014 · Fax (501) 468-0472
Location 349 Highway 62 412Ash Flat, AR 72513-9594 · Phone (870) 994-7301
Location 4204 Glades RdGatlinburg, TN 37738-5658 · Phone (865) 436-2811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and more.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

Charity Angela Lane Aprn 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 ID3779916788
PECOS Enrollment IDI20191205001201, I20241230003445
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72419 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.02
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. MARK S HAHN DO
Family Medicine
104 WEST STATE ST
CARAWAY, AR 72419
Craighead County (870) 956-0200

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 Charity Lane's NPI number?

The NPI number for Charity Lane is 1225679558. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Charity Lane located?

Charity Lane practices at 104 West State St, Caraway, AR 72419. The listed phone number is (870) 956-0200.

What is Charity Lane's specialty?

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

Is Charity Lane enrolled in Medicare?

Yes. Charity 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 Charity Lane accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Health Advantage and Octave and 1 other insurer list Charity 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 Charity Lane was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.