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LANE MICHAEL SHISH
NPI 1235718859
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 02, 2021PECOS Enrolled
420 DELAWARE STREET SE, MMC 394, MINNEAPOLIS, MN 55455(612) 625-8364 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lane Michael Shish NPPES

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

LANE MICHAEL SHISH (NPI 1235718859) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235718859
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANE MICHAEL SHISH
Location Address420 DELAWARE STREET SE, MMC 394Minneapolis, MN 55455
Mailing Address420 Delaware Street Se, Mmc 394Minneapolis, MN 55455 · (612) 625-8364
Phone(612) 625-8364
Sole ProprietorYes
Enumeration DateApril 2, 2021
NPPES CertifiedMarch 14, 2021
✔ NPI 1235718859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE STREET SE, MMC 394, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lane Michael Shish is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Lane Shish's NPI number?

The NPI number for Lane Shish is 1235718859. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Lane Shish located?

Lane Shish practices at 420 Delaware Street SE, Mmc 394, Minneapolis, MN 55455. The listed phone number is (612) 625-8364.

What is Lane Shish's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lane Shish enrolled in Medicare?

Yes. Lane Shish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lane Shish was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.