DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457932337

DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) is a healthcare provider. based in Munster, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP PMHNP-BC. They hold a License No. 041354134 (IL). The NPI Number for DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) is 1457932337

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC)
NPI
1457932337
Phone
(269) 250-8013
Address
10110 DONALD S POWERS DR STE 101C
Enumeration Date
21 April 2021
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8772322857
Graduation Year
2020 (6 years ago)
PAC ID
5890194401
Group Practice PAC ID
6305283011
Professional Enrollment ID
I20220919000980
Address ID
IN463214070MU10110DRXX505
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:5State licenses:4Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC)

  • 10110 DONALD S POWERS DR STE 101C

    MUNSTER, IN 463214070

    Phone: (269) 250-8013

    Type: Mailing

  • 6625 W Lincoln Hwy

    Crown Point, IN 463079678

    Phone: (219) 922-8051

    Fax: (219) 922-8608

    Type: Location

  • 11503 W 151ST AVE

    CEDAR LAKE, IN 463039077

    Phone: (708) 269-5263

    Type: Mailing

  • 706 RIDGE RD STE B

    MUNSTER, IN 463211612

    Phone: (219) 356-2240

    Fax: (219) 356-2241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $3,119.

Total Amount is formed as General ($3,119) + Research ($0) + Ownership ($0) = $3,119.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Almatica Pharma LLC ($1,930).

Total Amount

$3,119

General + Research + Ownership

Payments

50

Total payment records

General Amount

$3,119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-09-19

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
I20220919000980INurse PractitionerINTBD

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 46321)

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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: 6305283011View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) have a public NPI I can cite?
Public records show DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) under NPI 1457932337.
Should I treat DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) as an active provider?
Patients and plans typically see DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) as active in the national extract.
Which specialty label fits DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC)?
NPPES ties DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC)?
DR. MICHAEL JENNINGS SR. LANE (DNP PMHNP-BC) shows a connection to Munster, Indiana in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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