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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 4 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.