AMY VONGVILATH LANE F-NP
NPI 1477149730
Nurse Practitioner in Huntersville, NC

Q: What is Amy Lane's NPI number?

The NPI number for Amy Lane is 1477149730. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Q: What is Amy Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Lane was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 21, 2020PECOS Enrolled

13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078(704) 377-0246(704) 892-6638 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Vongvilath Lane F-np NPPES

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

AMY VONGVILATH LANE F-NP (NPI 1477149730) is an individual nurse practitioner in Huntersville, North Carolina, licensed in North Carolina (5013901) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477149730

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMY VONGVILATH LANECredential: F-NP

Location Address13808 PROFESSIONAL CENTER DRHuntersville, NC 28078-7948

Mailing Address13808 Professional Center DrHuntersville, NC 28078-7948 · (704) 377-0246

Phone(704) 377-0246

Fax(704) 892-6638

Sole ProprietorYes

Enumeration DateDecember 21, 2020

NPPES CertifiedSeptember 23, 2020

✔ NPI 1477149730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5013901

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

13808 PROFESSIONAL CENTER DR, Huntersville, NC 28078

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Vongvilath Lane F-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 28078 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

DANIEL GOMEZ CRNA

Nurse Anesthetist, Certified Registered