NICOLE RENEA LANE NP ADULT GERONTOLOGY
NPI 1942744222
Nurse Practitioner in Saint Louis, MO

Q: What is Nicole Lane's NPI number?

The NPI number for Nicole Lane is 1942744222. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Q: What is Nicole Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Lane was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 06, 2016PECOS Enrolled

12401 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 390-0135 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole Renea Lane Np Adult Gerontology NPPES

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

NICOLE RENEA LANE NP ADULT GERONTOLOGY (NPI 1942744222) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Kansas (77185) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942744222

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE RENEA LANECredential: NP ADULT GERONTOLOGY

Location Address12401 OLIVE BLVDSaint Louis, MO 63141-5443

Mailing Address474 Brookhaven CtO Fallon, MO 63368-9634 · (316) 371-6761

Phone(314) 390-0135

Sole ProprietorNo

Enumeration DateDecember 6, 2016

Last NPPES UpdateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1942744222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KS · 77185

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12401 OLIVE BLVD, Saint Louis, MO 63141

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Renea Lane Np Adult Gerontology 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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Lane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates Of Kansas LLC

380 mi

Multi-Specialty

801 E DOUGLAS AVE FL 2
Wichita, KS 67202

Reassigned Medicare billing, Kansas enrollment
260 clinicians in this Medicare group

NPI 1780261701 (877) 868-5351

Signify Health Medical Associates, PLLC

534 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Colorado enrollment
290 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 16

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

DR. ALFREDO RENE CALDERON DDS

Dentist (General Practice)

12401 OLIVE BLVD
CREVE COEUR, MO 63141

St. Louis County (314) 275-9009

DOELL, DAVIDSON & ASSOCIATES

Optometrist

12401 OLIVE BLVD, SUITE 206
SAINT LOUIS, MO 63141

St. Louis County (314) 628-9100

KIDS DOCS PC

Pediatrics

12401 OLIVE BLVD, STE 204
ST. LOUIS, MO 63141

St. Louis County (314) 469-2100

GINA SCOGNAMIGLIO D.C.

Chiropractor

12401 OLIVE BLVD, SUITE 101
CREVE COEUR, MO 63141

St. Louis County (314) 439-5548

DR. SUNG KWANG LEE D.C.

Chiropractor

12401 OLIVE BLVD
CREVE COEUR, MO 63141

St. Louis County (314) 576-1495

SYLVIA NISSENBOIM LCSW

Behavior Analyst

12401 OLIVE BLVD
SAINT LOUIS, MO 63141

St. Louis County (314) 477-3144

OSSP IMAGING OF ST. LOUIS

Clinic/Center (Radiology)

12401 OLIVE BLVD
SAINT LOUIS, MO 63141

St. Louis County (314) 390-0135

KIDS DOCS, PC

Pediatrics

12401 OLIVE BLVD, STE 204
SAINT LOUIS, MO 63141

St. Louis County (314) 469-2100

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 Nicole Lane's NPI number?

The NPI number for Nicole Lane is 1942744222. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Where is Nicole Lane located?

Nicole Lane practices at 12401 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 390-0135.

What is Nicole Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Lane enrolled in Medicare?

Yes. Nicole Lane is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lane reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates Of Kansas LLC (Wichita, KS) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Nicole Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Lane was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.