MRS. JENNIFER LAUREN LANE PA
NPI 1245776244
Physician Assistant - Medical in Simi Valley, CA

Active since January 13, 2017PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
2876 SYCAMORE DR, SIMI VALLEY, CA 93065(805) 527-6424 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2018, Jan 13, 2017 (2 updates tracked since 2017).

About Mrs. Jennifer Lauren Lane Pa NPPES

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

MRS. JENNIFER LAUREN LANE PA (NPI 1245776244) is an individual medical provider in Simi Valley, California, licensed in California (54157) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245776244
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JENNIFER LAUREN LANECredential: PA
Location Address2876 SYCAMORE DRSimi Valley, CA 93065-1530
Mailing Address20516 Germain StChatsworth, CA 91311-2417 · (951) 750-9051
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 13, 2017
Last NPPES UpdateFebruary 15, 20182 updates tracked since enumeration
NPI 1245776244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 54157
2876 SYCAMORE DR, Simi Valley, CA 93065

Secondary Practice Location 1

Location 1544 N Glendale AveGlendale, CA 91206-3311 · Phone (818) 241-4331

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

Mrs. Jennifer Lauren Lane Pa 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 ID8729362793
PECOS Enrollment IDI20170313000740
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
13 services12 patients

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers18 claims33 services$4.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
2876 SYCAMORE DR, SUITE 304
SIMI VALLEY, CA 93065
Pediatrics
2876 SYCAMORE DR, SUITE 302
SIMI VALLEY, CA 93065
Specialist
2876 SYCAMORE DR
SIMI VALLEY, CA 93065
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Internal Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245776244, enumerated as an "individual" on January 13, 2017.

The provider is located at 2876 SYCAMORE DR SIMI VALLEY, CA 93065 and the phone number is (805) 527-6424.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.