MS. BRENDA LANE NP
NPI 1417910209
Nurse Practitioner - Family in Ithaca, NY

Q: What is Brenda Lane's NPI number?

The NPI number for Brenda Lane is 1417910209. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Brenda Lane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenda Lane was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 11, 2006PECOS Enrolled

2359 N TRIPHAMMER RD, ITHACA, NY 14850(607) 257-1705(607) 257-3163 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Brenda Lane Np NPPES

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

MS. BRENDA LANE NP (NPI 1417910209) is an individual family provider in Ithaca, New York, licensed in New York (332286) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1417910209

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. BRENDA LANECredential: NP

Location Address2359 N TRIPHAMMER RDIthaca, NY 14850-1059

Mailing Address8 Brentwood Dr Ste AIthaca, NY 14850-1871 · (607) 257-2116

Phone(607) 257-1705

Fax(607) 257-3163

Sole ProprietorNo

Enumeration DateApril 11, 2006

Last NPPES UpdateApril 10, 2019

✔ NPI 1417910209 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 NY · 332286

2359 N TRIPHAMMER RD, Ithaca, NY 14850

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Secondary Practice Locations 4

Location 18 Brentwood Dr Ste A&cIthaca, NY 14850-1871 · Phone (607) 257-2116

Location 213 Old Ithaca RoadHorseheads, NY 14845 · Phone (607) 739-5293

Location 3200 Plaza DrVestal, NY 13850-3680 · Phone (607) 729-2366

Location 46700 Kirkville Rd Ste 201East Syracuse, NY 13057-9313 · Phone (315) 432-1055

Other Identifiers 2

Medicaid02393520NY

OtherBB7606Medicare Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Brenda Lane Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

JASMINE O MARCUS PT, DPT

Physical Therapist