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LANE FAMILY CLINIC LLC
NPI 1942810056
Family Medicine in Wright City, OK

Active since August 04, 2020
207 WEST 10TH STREET, WRIGHT CITY, OK 74766(580) 981-2104(580) 981-2105 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lane Family Clinic Llc NPPES

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

LANE FAMILY CLINIC LLC (NPI 1942810056) is a healthcare organization registered as a family medicine in Wright City, Oklahoma and active in the NPI registry since August 2020. The organization lists Shami Lynn Fowler, Owner, as its authorized official.

NPPES Registry Identity

NPI1942810056
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLANE FAMILY CLINIC LLC
Location Address207 WEST 10TH STREETWright City, OK 74766
Mailing AddressPo Box 650Wright City, OK 74766-0650 · (580) 981-2104 · Fax (580) 981-2105
Phone(580) 981-2104
Fax(580) 981-2105
Organization SubpartNo
Authorized OfficialShami Lynn FowlerOwner · (580) 212-0303
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1942810056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
207 WEST 10TH STREET, Wright City, OK 74766
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lane Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lane Family Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shami Fowler, FNP-C
Nurse Practitioner
NPI 1104441849
207 W 10TH ST
Wright City, OK 74766
(580) 981-2104
✔ PECOS15 mi

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

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 Family Clinic LLC's NPI number?

The NPI number for Lane Family Clinic LLC is 1942810056. It was assigned to this organization in the NPPES registry on August 4, 2020.

Where is Lane Family Clinic LLC located?

Lane Family Clinic LLC is located at 207 West 10th Street, Wright City, OK 74766. The listed phone number is (580) 981-2104.

What is Lane Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lane Family Clinic LLC enrolled in Medicare?

Yes. Lane Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lane Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lane Family Clinic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lane Family Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Lane Family Clinic LLC 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 Family Clinic LLC was last updated on August 4, 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.