LANE PRESTON FODEL (CRNP) – Acute Care Nurse Practitioner, NPI 1295026292

LANE PRESTON FODEL (CRNP) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R165067 (MD). The NPI Number for LANE PRESTON FODEL (CRNP) is 1295026292

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LANE PRESTON FODEL (CRNP)
NPI
1295026292
Phone
(410) 328-9503
Address
22 S GREENE ST
Enumeration Date
25 April 2011
Last Update Date
2 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4102258240
Graduation Year
2010 (16 years ago)
PAC ID
6406016096
Group Practice PAC ID
8123926649
Professional Enrollment ID
I20140930002400
Address ID
MD212014606BA827XXAVEX334
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for LANE PRESTON FODEL (CRNP)

  • 22 S GREENE ST

    BALTIMORE, MD 212011544

    Phone: (410) 328-9503

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SCPHARMACEUTICALS INC.$22
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: 2014-09-30

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
I20140930002400INurse PractitionerMDTBD

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 21201)

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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: 8123926649View full group profile
NameSpecialtyState
Nurse PractitionerMD
-MD
Physician AssistantIL
Nurse PractitionerMD
Physician AssistantMD
Physician AssistantMD
Nurse PractitionerMD
-MD
Nurse PractitionerMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

What is the 10-digit NPI for LANE PRESTON FODEL (CRNP)?
LANE PRESTON FODEL (CRNP) — NPI 1295026292 — is the standard way to identify this listing.
Can I rely on LANE PRESTON FODEL (CRNP) being an active provider?
As of the registry snapshot, LANE PRESTON FODEL (CRNP) is marked active.
What is LANE PRESTON FODEL (CRNP)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for LANE PRESTON FODEL (CRNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for LANE PRESTON FODEL (CRNP)?
LANE PRESTON FODEL (CRNP)'s geographic hint is Baltimore, Maryland 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.

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