CORNELIA LANE AG-ACNP
NPI 1982009049
Nurse Practitioner in Jacksonville, FL

Active since October 30, 2014PECOS EnrolledAccepts Medicare Assignment
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2026, Jun 18, 2025, Nov 15, 2016 and 1 more (4 updates tracked since 2016).

About Cornelia Lane Ag-acnp NPPES

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

CORNELIA LANE AG-ACNP (NPI 1982009049) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11040095) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Shelby.

NPPES Registry Identity

NPI1982009049
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCORNELIA LANECredential: AG-ACNP
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address201 E Grover StShelby, NC 28150-3917 · (980) 487-3678 · Fax (980) 487-3294
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 30, 2014
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1982009049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11040095
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5007296 (NC)
4500 SAN PABLO RD S, Jacksonville, FL 32224

Secondary Practice Location 1

Location 1201 E Grover StShelby, NC 28150-3917 · Phone (980) 487-3678 · Fax (980) 487-3294

Other Identifiers 2

Medicaid1982009049NC
MedicaidQNP283SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cornelia Lane Ag-acnp 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 ID9032433578
PECOS Enrollment IDI20150109002203, I20250626003410
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

6

Medicare enrollment records show Cornelia Lane reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group
Neuromuscular Medicine
580 W 8TH ST, UFJP NEUROLOGY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
Medical Oncology
7666 CHARLOTTE HWY, SUITE 200-A
Indian Land, SC 29707
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
Psychiatry
7825 BALLANTYNE COMMONS PKWY, SUITE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
Hospice Care, Community Based
2347 SIMONTON RD
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 25 clinicians in this Medicare group
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

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 Cornelia Lane's NPI number?

The NPI number for Cornelia Lane is 1982009049. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Where is Cornelia Lane located?

Cornelia Lane practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Cornelia Lane's specialty?

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

Is Cornelia Lane enrolled in Medicare?

Yes. Cornelia Lane 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.

Which organizations bill Medicare for Cornelia Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cornelia Lane reassigns Medicare benefits to 6 organizations: Mayo Clinic Jacksonville (Jacksonville, FL), University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL), The Charlotte-Mecklenburg Hospital Authority (Indian Land, SC), Carolinas Medical Center (Charlotte, NC), Hospice Of Iredell County, Inc (Statesville, NC) and 1 more organization, listed in the Medicare section above. 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 Cornelia Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cornelia Lane accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Cornelia Lane 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.

Is Cornelia Lane affiliated with any hospitals?

According to CMS data, Cornelia Lane is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Cornelia Lane was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.