KAREN M LANE DO
NPI 1427032127
Pediatrics in Green Bay, WI
About Karen M Lane Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN M LANE DO (NPI 1427032127) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (41238) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
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
Karen M Lane Do 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karen Lane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 78 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 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.
Areas of Expertise CMS Part B claims 27
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54313 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.
GREEN BAY, WI 54313
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 Karen Lane's NPI number?
The NPI number for Karen Lane is 1427032127. It was assigned to this individual provider in the NPPES registry on December 6, 2005.
Where is Karen Lane located?
Karen Lane practices at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 430-4585.
What is Karen Lane's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Karen Lane enrolled in Medicare?
Yes. Karen 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 Karen Lane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Lane reassigns Medicare benefits to 3 organizations: Oneida Nation (Green Bay, WI), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Karen Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Lane accept?
Health plans from CareSource (Common Ground Healthcare), Dean Health Plan and Network Health list Karen 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 Karen Lane was last updated on November 17, 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.