CASSIDY MARIE LANE
NPI 1356046056
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3431 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2025, Apr 3, 2023 (2 updates tracked since 2023).

About Cassidy Marie Lane NPPES

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

CASSIDY MARIE LANE (NPI 1356046056) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1356046056
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCASSIDY MARIE LANE
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address10301 Bridgetown LnCrowley, TX 76036-3998 · (903) 312-1686
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateFebruary 16, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2025
✔ NPI 1356046056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License V3362 (TX)
1500 S MAIN ST, Fort Worth, TX 76104

Other Names 1

Former Name (1)Cassidy Marie Doke

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassidy Marie Lane 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 ID9234668948
PECOS Enrollment IDI20260429002121
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Cassidy Lane reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 328 clinicians in this Medicare group
Urgent Care
2310 W UNIVERSITY DR
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 228 clinicians in this Medicare group
Emergency Medicine
300 SINGLETON RIDGE ROAD
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 47 clinicians in this Medicare group
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 559 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

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.

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104

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 Cassidy Lane's NPI number?

The NPI number for Cassidy Lane is 1356046056. It was assigned to this individual provider in the NPPES registry on April 3, 2023. The provider is also known as Cassidy Marie Doke.

Where is Cassidy Lane located?

Cassidy Lane practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3431.

What is Cassidy Lane's specialty?

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

Is Cassidy Lane enrolled in Medicare?

Yes. Cassidy 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.

Which organizations bill Medicare for Cassidy Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassidy Lane reassigns Medicare benefits to 4 organizations: Integrative Emergency Services Physician Group PA (Fort Worth, TX), Primary Health Physicians, PLLC (Denton, TX), Conway Hospital Emergency Professional Services (Conway, SC) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassidy Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassidy Lane accept?

Health plans from Blue Cross and Blue Shield of Texas list Cassidy 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.

Is Cassidy Lane affiliated with any hospitals?

According to CMS data, Cassidy Lane is affiliated with Conway Medical Center.

When was this NPI record last updated?

The NPPES record for Cassidy Lane was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.