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MRS. LANE GRAY WAGNON N.P.
NPI 1871756395
Nurse Practitioner - Adult Health in Conway, AR

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
525 WESTERN AVE, SUITE 202, CONWAY, AR 72034(501) 513-5337(501) 513-5338 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2020, Nov 2, 2016 (2 updates tracked since 2016).

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

NPI1871756395
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LANE GRAY WAGNONCredential: N.P.
Location Address525 WESTERN AVE, SUITE 202Conway, AR 72034-4967
Mailing Address525 Western Ave, Suite 202Conway, AR 72034-4967 · (501) 513-5337 · Fax (501) 513-5338
Phone(501) 513-5337
Fax(501) 513-5338
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 3, 2008
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1871756395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AR · A02902
525 WESTERN AVE, Conway, AR 72034
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Secondary Practice Location 1

Location 17 Medical Ln Ste CConway, AR 72034-4918 · Phone (501) 358-6432 · Fax (501) 358-6442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

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.

PECOS PAC ID3577865203
PECOS Enrollment IDI20161230000056
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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
477 services375 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.
474 services356 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.
453 services297 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
365 services148 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
212 services60 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
111 services41 patients

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

MR. DAVID JOHN HOLMES CRNA
Anesthesiology
525 WESTERN AVE, STE 201
CONWAY, AR 72034
Faulkner County (501) 327-6665
THADDEUS MICHAEL STANTON M.D.
Surgery
525 WESTERN AVE, SUITE 203
CONWAY, AR 72034
Faulkner County (501) 327-4828
CARL MARK CLARK CRNA
Anesthesiology
525 WESTERN AVE, STE 201
CONWAY, AR 72034
Faulkner County (501) 327-6665
BROCK K. KING M.D.
Surgery
525 WESTERN AVE, SUITE 203
CONWAY, AR 72034
Faulkner County (501) 327-4828
HOMER L. FLEISHER III, M.D. PA
Surgery
525 WESTERN AVE, SUITE 203
CONWAY, AR 72034
Faulkner County (501) 327-4828
BETHANY ROBERTS CRNA
Nurse Anesthetist, Certified Registered
525 WESTERN AVE
CONWAY, AR 72034
Faulkner County (501) 208-3207
CONWAY HEART CLINIC PLLC
Internal Medicine (Cardiovascular Disease)
525 WESTERN AVE, SUITE 304
CONWAY, AR 72034
Faulkner County (501) 327-7555
CONWAY REGIONAL MEDICAL CENTER,INC,
Clinic/Center (Ambulatory Surgical)
525 WESTERN AVE, SUITE 301
CONWAY, AR 72034
Faulkner County (501) 450-2491

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.

What insurance does Lane Wagnon accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave 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.