LISA MICHELLE LANE
NPI 1366106759
Nurse Practitioner - Family in San Augustine, TX

Active since October 22, 2021PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
200 E LIVINGSTON ST, SAN AUGUSTINE, TX 75972(322) 759-9109 Get Directions Write a Review

NPPES record last updated: September 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 4, 2022, Oct 22, 2021 (2 updates tracked since 2021).

About Lisa Michelle Lane NPPES

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

LISA MICHELLE LANE (NPI 1366106759) is an individual family provider in San Augustine, Texas, licensed in Texas (1057387) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Nacogdoches Medical Center, and maintains a secondary practice location in Woodville.

NPPES Registry Identity

NPI1366106759
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MICHELLE LANE
Location Address200 E LIVINGSTON STSan Augustine, TX 75972-2028
Mailing Address200 E Livingston StSan Augustine, TX 75972-2028 · (322) 759-9109
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 22, 2021
Last NPPES UpdateSeptember 4, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2022
NPI 1366106759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1057387
200 E LIVINGSTON ST, San Augustine, TX 75972

Secondary Practice Location 1

Location 1104 N Beech StWoodville, TX 75979-4718 · Phone (409) 283-2822

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

Lisa Michelle 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 ID7719895010
PECOS Enrollment IDI20220916000329
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 3

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

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services95 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450656
Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County
Emergency services Birthing friendly

Sabine County Hospital

Critical Access Hospitals · Hemphill, TX
OwnershipProprietary
CMS Certification Number451361
LocationPO Box 750, 2301 Hwy 83 WHemphill, TX 75948 · Sabine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75972 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$112.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers19 claims19 services$186.10 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 3

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

Family Medicine
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972
Clinic/Center (Rural Health)
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972
Emergency Medicine
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972

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 Lisa Lane's NPI number?

The NPI number for Lisa Lane is 1366106759. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Lisa Lane located?

Lisa Lane practices at 200 E Livingston St, San Augustine, TX 75972. The listed phone number is (322) 759-9109.

What is Lisa Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Lane enrolled in Medicare?

Yes. Lisa 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 Lisa Lane accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and UnitedHealthcare list Lisa 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 Lisa Lane affiliated with any hospitals?

According to CMS data, Lisa Lane is affiliated with Nacogdoches Medical Center and Sabine County Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Lane was last updated on September 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.