MALYNDA CHRISTINE LANE (FNP-BC) – Adult Health Nurse Practitioner, NPI 1255707907

MALYNDA CHRISTINE LANE (FNP-BC) is a healthcare provider. based in Columbia, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 2016023910 (MO). The NPI Number for MALYNDA CHRISTINE LANE (FNP-BC) is 1255707907

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MALYNDA CHRISTINE LANE (FNP-BC)
NPI
1255707907
Phone
(573) 882-4908
Address
One Hospital Dr
Enumeration Date
17 August 2015
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6365283495
Graduation Year
2014 (12 years ago)
PAC ID
8921373598
Group Practice PAC ID
5193040020
Professional Enrollment ID
I20190522000354
Address ID
MO633791513TR1000XSTXX400

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MALYNDA CHRISTINE LANE (FNP-BC)

  • One Hospital Dr

    Columbia, MO 652120001

    Phone: (573) 882-4908

    Fax: (573) 884-5184

    Type: Location

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (636) 352-9215

    Type: Mailing

  • 1000 E CHERRY ST

    TROY, MO 633791513

    Phone: (636) 528-3486

    Fax: (636) 528-3419

    Type: Location

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: 2019-05-22

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
I20190522000354INurse PractitionerMOTBD

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 65212)

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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: 5193040020View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal Medicine, Pediatric MedicineMO
Emergency MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Emergency Medicine, Family PracticeMO

Reviews

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Frequently asked questions

Where can patients find MALYNDA CHRISTINE LANE (FNP-BC)'s NPI?
You can confirm MALYNDA CHRISTINE LANE (FNP-BC) with NPI 1255707907; it appears in the national provider directory.
Is MALYNDA CHRISTINE LANE (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MALYNDA CHRISTINE LANE (FNP-BC)'s specialty in plain language?
Clinically, the directory lists MALYNDA CHRISTINE LANE (FNP-BC) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MALYNDA CHRISTINE LANE (FNP-BC)?
The snapshot lists Columbia, Missouri for MALYNDA CHRISTINE LANE (FNP-BC); download NPPES for the complete set.
What if Columbia, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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