MCTISA MICHELLE LANE FNP
NPI 1669756177
Nurse Practitioner - Family in Fort Bragg, NC

Q: What is Mctisa Lane's NPI number?

The NPI number for Mctisa Lane is 1669756177. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Q: What is Mctisa 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 Mctisa Lane was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2011PECOS Enrolled

2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310(910) 907-8707(910) 907-6069 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2025, Jul 16, 2024, Dec 13, 2016 and 2 more (5 updates tracked since 2015).

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About Mctisa Michelle Lane Fnp NPPES

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

MCTISA MICHELLE LANE FNP (NPI 1669756177) is an individual family provider in Fort Bragg, North Carolina, licensed in North Carolina (5005342) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spring Lake.

NPPES Registry Identity

NPI1669756177

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMCTISA MICHELLE LANECredential: FNP

Location Address2817 ROCK MERRITT AVE STOP AFort Bragg, NC 28310-8862

Mailing Address2817 Rock Merritt Ave Stop AFort Bragg, NC 28310-8862 · (910) 907-8707 · Fax (910) 907-6069

Phone(910) 907-8707

Fax(910) 907-6069

Sole ProprietorNo

Enumeration DateOctober 3, 2011

Last NPPES UpdateJune 9, 20255 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1669756177 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 NC · 5005342

2817 ROCK MERRITT AVE STOP A, Fort Bragg, NC 28310

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Secondary Practice Location 1

Location 1202 Kensington DrSpring Lake, NC 28390-4056 · Phone (919) 625-9818

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mctisa Michelle Lane Fnp 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 28310 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.