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JACOB LANE
NPI 1992248744
Physician Assistant - Surgical in Des Moines, IA

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment
411 LAUREL ST STE 3250, DES MOINES, IA 50314(515) 643-6400(515) 643-5816 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Mar 17, 2018, Nov 29, 2017 (3 updates tracked since 2017).

About Jacob Lane NPPES

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

JACOB LANE (NPI 1992248744) is an individual surgical provider in Des Moines, Iowa, licensed in Iowa (089244) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Kossuth Regional Health Center, and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1992248744
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACOB LANE
Location Address411 LAUREL ST STE 3250Des Moines, IA 50314-3026
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-6400 · Fax (515) 643-5816
Phone(515) 643-6400
Fax(515) 643-5816
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 28, 2016
Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1992248744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in IA · 089244✔ Licensed in AZ · 860285905
411 LAUREL ST STE 3250, Des Moines, IA 50314
Open in Google Maps ↗

Secondary Practice Location 1

Location 12945 S Dobson RdMesa, AZ 85202-7941 · Phone (480) 969-4138 ext. 171

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Lane 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 ID8729363718
PECOS Enrollment IDI20171211001832
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.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
120 services107 patients

Hospital Affiliations CMS Care Compare

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

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161353
Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

ERIN NICOLE HAVERKAMP PA-C
Physician Assistant
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
DANIELLE L RICE DNP
Nurse Practitioner (Acute Care)
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
SHARISSE FIORI ARNP
Nurse Practitioner (Family)
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
JEFFREY SISUL ARNP
Nurse Practitioner (Family)
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
JOHN POPOVICH M.D.
Surgery (Surgical Critical Care)
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
DR. JEFFREY CLAUDE NEITZEL DO
Surgery (Surgical Critical Care)
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
PHILLIP ALLEN CAMPBELL ARNP
Nurse Practitioner
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400
LAWRENCE L SANN M.D.
Surgery (Surgical Critical Care)
411 LAUREL ST STE 3250
DES MOINES, IA 50314
Polk County (515) 643-6400

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 Jacob Lane's NPI number?

The NPI number for Jacob Lane is 1992248744. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Jacob Lane located?

Jacob Lane practices at 411 Laurel St Ste 3250, Des Moines, IA 50314. The listed phone number is (515) 643-6400.

What is Jacob Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacob Lane enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Lane accept?

Health plans from Medica, Oscar Insurance Company and Sanford Health Plan list Jacob 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 Jacob Lane affiliated with any hospitals?

According to CMS data, Jacob Lane is affiliated with Kossuth Regional Health Center.

When was this NPI record last updated?

The NPPES record for Jacob Lane was last updated on March 4, 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.