ALICIA JEAN LANE (MSN, RN, FNP-C) – Registered Nurse, NPI 1154982783

ALICIA JEAN LANE (MSN, RN, FNP-C) is a healthcare provider. based in Kalamazoo, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, FNP-C. They hold a License No. 4704343669 (MI). The NPI Number for ALICIA JEAN LANE (MSN, RN, FNP-C) is 1154982783

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA JEAN LANE (MSN, RN, FNP-C)
NPI
1154982783
Phone
(269) 382-9820
Address
1910 SHAFFER ST
Enumeration Date
25 June 2019
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693217120
Graduation Year
2021 (5 years ago)
PAC ID
1355728486
Group Practice PAC ID
7315856077
Professional Enrollment ID
I20220511001644
Address ID
MI490247427PO7775XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for ALICIA JEAN LANE (MSN, RN, FNP-C)

  • 1910, Shaffer Street, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States

    KALAMAZOO, MI 490481604

    Phone: (269) 382-9820

    Type: Location

  • 1910 Shaffer St

    Kalamazoo, MI 490481604

    Phone: (269) 382-9820

    Type: Location

  • 520 MAIN ST

    DOWAGIAC, MI 490471762

    Phone: (269) 783-3052

    Type: Location

  • 1014, Westmoreland Avenue, Kalamazoo, Kalamazoo County, Michigan, 49006, United States

    KALAMAZOO, MI 490065544

    Phone: (517) 494-0833

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-05-11

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
I20220511001644INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11293$0
99213Established patient office or other outpatient visit, 20-29 minutes7872$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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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: 7315856077View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
-MI
-IN
Gastroenterology, Internal MedicineMI
Nurse PractitionerMI
N E U R O L O G YMI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMI
Family PracticeMI
N E U R O L O G YGA

Reviews

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Frequently asked questions

What is the registry number for ALICIA JEAN LANE (MSN, RN, FNP-C)?
The registry entry for ALICIA JEAN LANE (MSN, RN, FNP-C) shows NPI 1154982783.
Is ALICIA JEAN LANE (MSN, RN, FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists ALICIA JEAN LANE (MSN, RN, FNP-C) as active.
What type of care does ALICIA JEAN LANE (MSN, RN, FNP-C) provide?
ALICIA JEAN LANE (MSN, RN, FNP-C)'s profile centers on Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALICIA JEAN LANE (MSN, RN, FNP-C)?
ALICIA JEAN LANE (MSN, RN, FNP-C) is associated with Kalamazoo, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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