1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. KELSEY LANE D.O.
NPI 1952194003
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since May 22, 2025PECOS Enrolled
1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1037 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2025, May 22, 2025 (2 updates tracked since 2025).

About Dr. Kelsey Lane D.o. NPPES

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

DR. KELSEY LANE D.O. (NPI 1952194003) is an individual student in an organized health care education/training program in Rockford, Illinois and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952194003
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELSEY LANECredential: D.O.
Location Address1221 E STATE STRockford, IL 61104-2231
Mailing Address1221 E State StRockford, IL 61104-2231 · (815) 972-1037
Phone(815) 972-1037
Sole ProprietorNo
Enumeration DateMay 22, 2025
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1952194003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1221 E STATE ST, Rockford, IL 61104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelsey Lane D.o. 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.

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.

DOLORES APREDA DO
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1037
DR. WARDHA MOWLA DO
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1037
MARCIA A. ZUKOSKY NP
Nurse Practitioner
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1000
AAROHI MUNSHI MD
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1000
DANIELLE SUZANNE RODRIGUEZ APRN
Nurse Practitioner (Family)
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1000
JESSECA PIRKLE MD MPH
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1000
DR. AMANDEEP KAUR MD
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1000
NIROGH GLEN VALENTINE MD
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 972-1000

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 Kelsey Lane's NPI number?

The NPI number for Kelsey Lane is 1952194003. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Kelsey Lane located?

Kelsey Lane practices at 1221 E State St, Rockford, IL 61104. The listed phone number is (815) 972-1037.

What is Kelsey Lane's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelsey Lane enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelsey Lane was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.