MIKENZIE LANE PA-C
NPI 1689337784
Physician Assistant in Gretna, NE

Q: What is Mikenzie Lane's NPI number?

The NPI number for Mikenzie Lane is 1689337784. It was assigned to this individual provider in the NPPES registry on October 16, 2021. The provider is also known as Mikenzie Lane Pa-C.

Q: What is Mikenzie Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mikenzie Lane was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 October 16, 2021PECOS EnrolledAccepts Medicare Assignment

11946 STANDING STONE DR, GRETNA, NE 68028(402) 354-2273(402) 815-4510 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Nov 29, 2022, Oct 16, 2021 (3 updates tracked since 2021).

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About Mikenzie Lane Pa-c NPPES

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

MIKENZIE LANE PA-C (NPI 1689337784) is an individual physician assistant in Gretna, Nebraska, licensed in Nebraska (2634) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1689337784

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIKENZIE LANECredential: PA-C

Location Address11946 STANDING STONE DRGretna, NE 68028-8094

Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (102) 354-2100 · Fax (402) 354-2155

Phone(402) 354-2273

Fax(402) 815-4510

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 16, 2021

Last NPPES UpdateJanuary 31, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2025

✔ NPI 1689337784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NE · 2634

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11946 STANDING STONE DR, Gretna, NE 68028

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Other Names 1

Former Name (1)Mikenzie Lane Pa-c

Secondary Practice Location 1

Location 13503 Samson Way Ste 108Bellevue, NE 68123-4303 · Phone (402) 592-2055 · Fax (402) 592-2419

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Mikenzie Lane Pa-c 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.

PECOS PAC ID8820480064

PECOS Enrollment IDI20220119002624

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.

Areas of Expertise CMS Part B claims 3

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.

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

29 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280040

Location8303 Dodge StOmaha, NE 68114 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68028 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISCILLA SOTH LACROIX DO

Pediatrics