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: August 16, 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 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, and ordering and referring status from the CMS PECOS system.

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 IDI20250124002888
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 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.

What insurance does Cassidy Lane accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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.

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 18 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.