CHRISTINE LANE (APRN) – Nurse Practitioner, NPI 1265754147

CHRISTINE LANE (APRN) is a healthcare provider. based in Arnold, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2009034995 (MO). The NPI Number for CHRISTINE LANE (APRN) is 1265754147

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE LANE (APRN)
NPI
1265754147
Phone
(636) 321-8618
Address
1296 JEFFCO BLVD
Enumeration Date
19 February 2010
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143446000
Graduation Year
2009 (17 years ago)
PAC ID
2769510361
Group Practice PAC ID
7810800737
Professional Enrollment ID
I20100430000686
Address ID
MO630442512BR12303DRXX305

Contacts

Secure Messaging
clane102609@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for CHRISTINE LANE (APRN)

  • 1296, Jeffco Boulevard, Arnold, Jefferson County, Missouri, 63010, United States

    ARNOLD, MO 630102138

    Phone: (636) 321-8618

    Type: Mailing

  • 16105, Manchester Road, Ellisville, Saint Louis County, Missouri, 63011, United States

    ELLISVILLE, MO 630112001

    Phone: (866) 825-3227

    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: 2010-04-30

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
I20100430000686INurse 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 63010)

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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: 7810800737View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
-MO
N E U R O L O G YMO
Plastic And Reconstructive SurgeryOH
A N E S T H E S I O L O G YMO
-MO
-MO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

Where can patients find CHRISTINE LANE (APRN)'s NPI?
You can confirm CHRISTINE LANE (APRN) with NPI 1265754147; it appears in the national provider directory.
Is CHRISTINE LANE (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CHRISTINE LANE (APRN) work in?
You can think of CHRISTINE LANE (APRN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CHRISTINE LANE (APRN)'s primary listing?
We display Arnold, Missouri because that is what the record indicates for CHRISTINE LANE (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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