MARY L LANE (ARNP) – Nurse Practitioner, NPI 1568614303
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MARY L LANE (ARNP)
10762 SE US HWY 441
BELLEVIEW, FL 34420
Phone: (352) 347-5225
Fax: (352) 347-1073
Type: Mailing
10762 SE US HIGHWAY 441
BELLEVIEW, FL 344203805
Phone: (352) 347-5225
Fax: (352) 347-1073
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $1,168.
Total Amount is formed as General ($1,168) + Research ($0) + Ownership ($0) = $1,168.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Abbott Laboratories ($563).
Total Amount
$1,168
General + Research + Ownership
Payments
39
Total payment records
General Amount
$1,168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $563 |
| E.R. Squibb & Sons, L.L.C. | $125 |
| PFIZER INC. | $101 |
| Edwards Lifesciences Corporation | $76 |
| W. L. Gore & Associates, Inc. | $67 |
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: 2009-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090408000300 | I | Nurse Practitioner | FL | TBD |
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.
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 34420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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