JORDAN LANE
NPI 1447091475
Physician Assistant - Medical in Mesa, AZ
About Jordan Lane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN LANE (NPI 1447091475) is an individual medical provider in Mesa, Arizona, licensed in Mississippi (PA00963) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Jordan 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.
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.
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
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 Jordan Lane's NPI number?
The NPI number for Jordan Lane is 1447091475. It was assigned to this individual provider in the NPPES registry on June 4, 2024.
Where is Jordan Lane located?
Jordan Lane practices at 5850 E Still Cir, Mesa, AZ 85206. The listed phone number is (630) 962-9440.
What is Jordan Lane's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jordan Lane enrolled in Medicare?
Yes. Jordan 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.
When was this NPI record last updated?
The NPPES record for Jordan Lane was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Jordan Lane · NPI 1447091475
Medical physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since June 4, 2024.
## Identity
- **NPI:** 1447091475 (Entity type: Individual)
- **Enumerated:** June 4, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA00963 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 5850 E STILL CIR, Mesa, AZ 85206-3618
- **Phone:** (630) 962-9440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447091475) · Data from the CMS NPPES public registry.