MIKENZIE LANE (PA-C) – Physician Assistant, NPI 1689337784
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
Provider Addresses for MIKENZIE LANE (PA-C)
PO BOX 3755
OMAHA, NE 681030755
Phone: (102) 354-2100
Fax: (402) 354-2155
Type: Mailing
11946 STANDING STONE DR
GRETNA, NE 680288094
Phone: (402) 354-2273
Fax: (402) 815-4510
Type: Location
3503 Samson Way Ste 108
Bellevue, NE 681234303
Phone: (402) 592-2055
Fax: (402) 592-2419
Type: Location
6725 S 135TH TER
OMAHA, NE 681374217
Phone: (308) 760-6758
Type: Mailing
2510 BELLEVUE MEDICAL CENTER DR
BELLEVUE, NE 681231520
Phone: (402) 763-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $1,772.
Total Amount is formed as General ($1,772) + Research ($0) + Ownership ($0) = $1,772.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($356).
Total Amount
$1,772
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,772
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $356 |
| GENZYME CORPORATION | $292 |
| AstraZeneca Pharmaceuticals LP | $284 |
| Amgen Inc. | $183 |
| Pharming Healthcare, Inc. | $96 |
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: 2022-01-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220119002624 | I | Physician Assistant | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 22 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 19 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 16 | 14 | $0 |
Insurance plans in this area (ZIP 68103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Infectious Disease | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
Reviews
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