SCOTT ANDERSON LANE (FNP) – Nurse Practitioner, NPI 1134870728

SCOTT ANDERSON LANE (FNP) is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95019746 (CA). The NPI Number for SCOTT ANDERSON LANE (FNP) is 1134870728

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT ANDERSON LANE (FNP)
NPI
1134870728
Phone
(949) 664-9684
Address
100 W MAIN ST STE 101
Enumeration Date
14 January 2022
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9497227118
Graduation Year
2021 (5 years ago)
PAC ID
5799170643
Group Practice PAC ID
9032266127
Professional Enrollment ID
I20220311002053
Address ID
CA926146041IR17782COWA201
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

Provider Addresses for SCOTT ANDERSON LANE (FNP)

  • 100 W MAIN ST STE 101

    BOISE, ID 837027361

    Phone: (949) 664-9684

    Type: Mailing

  • 9149 W BLACK EAGLE DR

    BOISE, ID 837091572

    Phone: (208) 501-3999

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $1,461.

Total Amount is formed as General ($1,461) + Research ($0) + Ownership ($0) = $1,461.

Last reported payment date: 2023-12-01 • Largest payer in this snapshot: Neuronetics, Inc. ($1,461).

Total Amount

$1,461

General + Research + Ownership

Payments

2

Total payment records

General Amount

$1,461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Neuronetics, Inc.$1,461
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: 2022-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220311002053INurse PractitionerCATBD
I20221006002892INurse PractitionerIDTBD

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 83702)

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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: 9032266127View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
P S Y C H I A T R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Where can patients find SCOTT ANDERSON LANE (FNP)'s NPI?
You can confirm SCOTT ANDERSON LANE (FNP) with NPI 1134870728; it appears in the national provider directory.
Is SCOTT ANDERSON LANE (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SCOTT ANDERSON LANE (FNP)'s specialty in plain language?
Clinically, the directory lists SCOTT ANDERSON LANE (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SCOTT ANDERSON LANE (FNP)?
We surface Boise, Idaho for SCOTT ANDERSON LANE (FNP) based on available NPPES addresses.
Is SCOTT ANDERSON LANE (FNP) a real provider?
This page reflects official NPPES data for NPI 1134870728. Always confirm identity and privileges with the practice and licensing boards.

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