DUSTIN ALEX LANE
NPI 1730983388
Nurse Anesthetist, Certified Registered in Boise, ID

Active since April 02, 2025Accepts Medicare Assignment
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dustin Alex Lane NPPES

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

DUSTIN ALEX LANE (NPI 1730983388) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (9071278) and active in the NPI registry since April 2025. He is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730983388
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDUSTIN ALEX LANE
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address262 W Wausau StMeridian, ID 83646-6938 · (541) 620-0935
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 2, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1730983388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · 9071278
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 59114 (ID)
190 E BANNOCK ST, Boise, ID 83712

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

Dustin Alex 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.

PECOS PAC ID8325557226
PECOS Enrollment IDI20250815003923

Medicare Billing Reassignment

Medicare enrollment records show Dustin Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
338 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 233 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.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 20

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

Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712

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 Dustin Lane's NPI number?

The NPI number for Dustin Lane is 1730983388. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Dustin Lane located?

Dustin Lane practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is Dustin Lane's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dustin Lane enrolled in Medicare?

Yes. Dustin 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 organization bills Medicare for Dustin Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Lane reassigns Medicare benefits to Anesthesia Associates Of Boise, P.A. (Boise, ID). The 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 Dustin Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dustin Lane affiliated with any hospitals?

According to CMS data, Dustin Lane is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Dustin Lane was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.