AMY MICHELLE LANE (APRN, PMHNP-BC) – Nurse Practitioner, NPI 1659475911

AMY MICHELLE LANE (APRN, PMHNP-BC) is a healthcare provider. based in Bozrah, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. L8-0010941 (DE). The NPI Number for AMY MICHELLE LANE (APRN, PMHNP-BC) is 1659475911

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
AMY MICHELLE LANE (APRN, PMHNP-BC)
NPI
1659475911
Phone
(860) 823-0245
Address
410 SALEM TPKE
Enumeration Date
8 September 2006
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022241400
Graduation Year
1998 (28 years ago)
PAC ID
1658442538
Group Practice PAC ID
3375620016
Professional Enrollment ID
I20251103003721
Address ID
DE199714493RE19409RDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

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Provider Addresses for AMY MICHELLE LANE (APRN, PMHNP-BC)

  • 410, Salem Turnpike, Leffingwell, Bozrah, Southeastern Connecticut Planning Region, Connecticut, 06334, United States

    BOZRAH, CT 063341519

    Phone: (860) 823-0245

    Fax: (860) 213-8350

    Type: Mailing

  • 79 BRIAR HILL RD

    NORWICH, CT 063606440

    Phone: (860) 823-0245

    Fax: (860) 213-8350

    Type: Mailing

  • 19409 PLANTATION RD UNIT 4

    REHOBOTH BEACH, DE 199714493

    Phone: (302) 224-1400

    Type: Mailing

  • 19409 PLANTATION RD, STE 4

    REHOBOTH BEACH, DE 199714413

    Phone: (302) 224-1400

    Fax: (302) 224-1402

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $845.

Total Amount is formed as General ($845) + Research ($0) + Ownership ($0) = $845.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($309).

Total Amount

$845

General + Research + Ownership

Payments

48

Total payment records

General Amount

$845

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251103003721INurse PractitionerDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 06334)

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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: 3375620016View full group profile
NameSpecialtyState
Clinical Social WorkerDE
Nurse PractitionerMD
Mental Health CounselorDE
Clinical Social WorkerDE
Marriage And Family TherapistDE
Mental Health CounselorDE
Mental Health CounselorAZ
Clinical PsychologistDE
Marriage And Family TherapistDE
-MD

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMY MICHELLE LANE (APRN, PMHNP-BC)?
AMY MICHELLE LANE (APRN, PMHNP-BC) — NPI 1659475911 — is the standard way to identify this listing.
Does the file indicate AMY MICHELLE LANE (APRN, PMHNP-BC) is practicing under active NPI?
Directory data currently reports AMY MICHELLE LANE (APRN, PMHNP-BC) as active.
What is AMY MICHELLE LANE (APRN, PMHNP-BC) best known for clinically?
Directory data describes AMY MICHELLE LANE (APRN, PMHNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for AMY MICHELLE LANE (APRN, PMHNP-BC)?
AMY MICHELLE LANE (APRN, PMHNP-BC)'s geographic hint is Bozrah, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.