CASSANDRA LANE (FNP-C) – Family Nurse Practitioner, NPI 1962083980

CASSANDRA LANE (FNP-C) is a healthcare provider. based in Lenox, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN2265725 (MA). The NPI Number for CASSANDRA LANE (FNP-C) is 1962083980

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA LANE (FNP-C)
NPI
1962083980
Phone
Not provided
Address
9 SULLIVAN LN
Enumeration Date
20 April 2021
Last Update Date
20 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135288615
Graduation Year
2020 (6 years ago)
PAC ID
5698174548
Group Practice PAC ID
1254240773
Professional Enrollment ID
I20210525002558
Address ID
MA012301713GR29XXXAVEX300

Contacts

Secure Messaging
bmichaels@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

9,049 NURSE PRACTITIONER in MA

Provider Addresses for CASSANDRA LANE (FNP-C)

  • 9 SULLIVAN LN

    LENOX, MA 012402141

    Phone:

    Type: Mailing

  • 426 SOUITH STREET

    PITTSFIELD, MA 01201

    Phone: (413) 496-9272

    Type: Location

  • 29 Lewis Ave

    Great Barrington, MA 012301796

    Phone: (413) 854-9700

    Type: Location

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Integra LifeSciences Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2021-05-25

PECOS data refreshed: 2026-06-15

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
I20210525002558INurse PractitionerMATBD

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 01240)

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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: 1254240773View full group profile
NameSpecialtyState
Internal MedicineMA
Nurse PractitionerMA
Internal MedicineMA
A N E S T H E S I O L O G YMA
Internal MedicineMA
Physician AssistantMA
Endocrinology, Internal MedicineMA
Family PracticeMA
E N D O C R I N O L O G YMA
-OR

Reviews

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Frequently asked questions

What unique ID ties claims to CASSANDRA LANE (FNP-C)?
NPI 1962083980 is assigned to CASSANDRA LANE (FNP-C) under the national enumeration system.
Is CASSANDRA LANE (FNP-C) currently active in the NPI registry?
CMS-published data lists CASSANDRA LANE (FNP-C) as an active registrant.
What kind of provider is CASSANDRA LANE (FNP-C)?
The page reflects Family Nurse Practitioner for CASSANDRA LANE (FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for CASSANDRA LANE (FNP-C)?
We surface Lenox, Massachusetts for CASSANDRA LANE (FNP-C) based on available NPPES addresses.
How can I contact CASSANDRA LANE (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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