KIMBERLY ANN LANE MD
NPI 1285706713
Family Medicine in Minneapolis, MN
About Kimberly Ann Lane Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ANN LANE MD (NPI 1285706713) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (30134) and active in the NPI registry since November 2006. She has opted out of Medicare through January 7, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kimberly Ann Lane Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2013 through January 7, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Kimberly Lane's NPI number?
The NPI number for Kimberly Lane is 1285706713. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Kimberly Lane located?
Kimberly Lane practices at 410 Church St SE Boynton Health Service, Minneapolis, MN 55455. The listed phone number is (612) 625-8400.
What is Kimberly Lane's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kimberly Lane enrolled in Medicare?
No. Kimberly Lane has opted out of Medicare through January 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kimberly Lane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kimberly Ann Lane, MD · NPI 1285706713
Family Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1285706713 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 30134 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 CHURCH ST SE, BOYNTON HEALTH SERVICE, Minneapolis, MN 55455-0340
- **Phone:** (612) 625-8400
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 7, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN A94482 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1285706713) · Data from the CMS NPPES public registry.