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LANE TUPA
NPI 1245060367
Student in an Organized Health Care Education/Training Program in Jackson, TN

Active since August 05, 2024PECOS Enrolled
700 W FOREST AVE FL 5, JACKSON, TN 38301(731) 541-3755 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Aug 5, 2024 (2 updates tracked since 2024).

About Lane Tupa NPPES

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

LANE TUPA (NPI 1245060367) is an individual student in an organized health care education/training program in Jackson, Tennessee and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245060367
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANE TUPA
Location Address700 W FOREST AVE FL 5Jackson, TN 38301-3937
Mailing Address12100 Rainwood Rd Apt 38Little Rock, AR 72212-3936 · (870) 678-3141
Phone(731) 541-3755
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1245060367 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.
700 W FOREST AVE FL 5, Jackson, TN 38301
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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 Tupa 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.

Other Providers at the Same Location NPPES 19

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

ANDREW MINOR
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 927-8442
DELANEY PUCKETT DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
CARSON BODIFORD DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
HANNAH SHEA DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
JACOB GHEE MD
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
MICHAEL ALEXANDER LUCAS
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 927-8453
KAYLAN CAIN DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
CHARDAE FOSTER MD
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932

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 Tupa's NPI number?

The NPI number for Lane Tupa is 1245060367. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Lane Tupa located?

Lane Tupa practices at 700 W Forest Ave Fl 5, Jackson, TN 38301. The listed phone number is (731) 541-3755.

What is Lane Tupa'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 Tupa enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lane Tupa was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.