KIMBERLY J LANE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093765232

KIMBERLY J LANE (APRN) is a healthcare provider. based in Putnam, Connecticut. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 000708 (CT). The NPI Number for KIMBERLY J LANE (APRN) is 1093765232

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY J LANE (APRN)
NPI
1093765232
Phone
(860) 928-7704
Address
7 Kennedy Dr
Enumeration Date
10 May 2006
Last Update Date
1 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607790867
Graduation Year
1989 (37 years ago)
PAC ID
3678521721
Group Practice PAC ID
1557514411
Professional Enrollment ID
I20050105001079
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY J LANE (APRN)

  • 7 Kennedy Dr

    Putnam, CT 062601939

    Phone: (860) 928-7704

    Type: Location

  • 45 Green Hollow Rd

    Danielson, CT 062393509

    Phone: (860) 774-1255

    Fax: (860) 779-2059

    Type: Location

  • 12 Lathrop Rd

    Plainfield, CT 063742061

    Phone: (860) 457-9191

    Fax: (860) 457-9192

    Type: Location

  • 612 Hartford Pike

    Dayville, CT 062412159

    Phone: (860) 779-0867

    Fax: (860) 779-0382

    Type: Location

  • 168 Route 171

    Woodstock, CT 062813123

    Phone: (860) 928-7775

    Fax: (860) 928-3852

    Type: Location

  • Day Kimball Hospital, 320, Pomfret Street, Putnam, Windham County, Connecticut, 06260, United States

    PUTNAM, CT 062601836

    Phone: (860) 928-6541

    Fax: (860) 963-6393

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($43).

Total Amount

$113

General + Research + Ownership

Payments

5

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06260)

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Provider's Procedures

KIMBERLY J LANE (APRN) performs procedures in Psychiatric/Mental Health Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED CLINICAL NURSE SPECIALISTCT90792Psychiatric diagnostic evaluation with medical services1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557514411View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseasePA
General SurgeryTX
O B S T E T R I C S/ G Y N E C O L O G YCT
Pediatric MedicineCT
Nurse PractitionerMA
-CT
D E R M A T O L O G YCT
Internal Medicine, Hospitalist, Internal MedicineNY
P O D I A T R YCT
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)CT

Reviews

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Frequently asked questions

How do I look up KIMBERLY J LANE (APRN) by NPI?
Use NPI 1093765232 when you need to reference KIMBERLY J LANE (APRN) in forms, claims, or directories.
Is KIMBERLY J LANE (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KIMBERLY J LANE (APRN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for KIMBERLY J LANE (APRN). Clinical services aligned with this taxonomy classification.
What location shows for KIMBERLY J LANE (APRN)?
We surface Putnam, Connecticut for KIMBERLY J LANE (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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