MRS. LANE GRAY WAGNON N.P.
NPI 1871756395
Nurse Practitioner - Adult Health in Conway, AR
About Mrs. Lane Gray Wagnon N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LANE GRAY WAGNON N.P. (NPI 1871756395) is an individual adult health provider in Conway, Arkansas, licensed in Arkansas (A02902) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conway, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Mrs. Lane Gray Wagnon N.p. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lane Wagnon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conway, AR 72034
- Reassigned Medicare billing, Arkansas enrollment
- 8 clinicians in this Medicare group
Conway, AR 72034
- Reassigned Medicare billing, Arkansas enrollment
- 2 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.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CONWAY, AR 72034
CONWAY, AR 72034
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 Lane Wagnon's NPI number?
The NPI number for Lane Wagnon is 1871756395. It was assigned to this individual provider in the NPPES registry on July 3, 2008.
Where is Lane Wagnon located?
Lane Wagnon practices at 525 Western Ave Suite 202, Conway, AR 72034. The listed phone number is (501) 513-5337.
What is Lane Wagnon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Lane Wagnon enrolled in Medicare?
Yes. Lane Wagnon 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 organizations bill Medicare for Lane Wagnon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lane Wagnon reassigns Medicare benefits to 2 organizations: Conway Regional Medical Center, Inc. (Conway, AR) and Better Life Heart Therapy Inc (Conway, AR). Each 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 Lane Wagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lane Wagnon accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Lane Wagnon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lane Wagnon was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Lane Gray Wagnon, N.P. · NPI 1871756395
Adult Health physician in Conway, Arkansas. Individual provider, active in the CMS NPPES registry since July 3, 2008.
## Identity
- **NPI:** 1871756395 (Entity type: Individual)
- **Enumerated:** July 3, 2008
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** A02902 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 WESTERN AVE, SUITE 202, Conway, AR 72034-4967
- **Phone:** (501) 513-5337 · **Fax:** (501) 513-5338
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Conway Regional Medical Center, Inc. (NPI 1538615927, Conway, AR); Better Life Heart Therapy Inc (NPI 1679104467, Conway, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1871756395) · Data from the CMS NPPES public registry.