TRACY ELAINE LANE (AGPCNP-CNP) – Adult Health Nurse Practitioner, NPI 1073099503

TRACY ELAINE LANE (AGPCNP-CNP) is a healthcare provider. based in Hammon, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-CNP. They hold a License No. 71743 (OK). The NPI Number for TRACY ELAINE LANE (AGPCNP-CNP) is 1073099503

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TRACY ELAINE LANE (AGPCNP-CNP)
NPI
1073099503
Phone
(580) 309-0461
Address
20169 E 960 RD
Enumeration Date
18 July 2018
Last Update Date
18 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057499655
Graduation Year
2017 (9 years ago)
PAC ID
3274886270
Group Practice PAC ID
5395763064
Professional Enrollment ID
I20181022000074
Address ID
OK731205039OK11000DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for TRACY ELAINE LANE (AGPCNP-CNP)

  • 20169 E 960 RD

    HAMMON, OK 736505032

    Phone: (580) 309-0461

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Axonics, Inc. ($82).

Total Amount

$177

General + Research + Ownership

Payments

9

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2018-10-22

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
I20181022000074INurse PractitionerOKTBD

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
81003Automated urinalysis test1,004446$0
99214Established patient office or other outpatient visit, 30-39 minutes896431$0
87799Detection test by nucleic acid for organism, quantification582145$0
87798Detection test by nucleic acid for organism, amplified probe technique456156$0
87481Detection test for candida species (yeast), amplified probe technique226155$0
View full utilization report →

Insurance plans in this area (ZIP 73650)

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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: 5395763064View full group profile

Reviews

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Frequently asked questions

What is TRACY ELAINE LANE (AGPCNP-CNP)'s NPI number?
TRACY ELAINE LANE (AGPCNP-CNP)'s NPI is 1073099503 — the number used across U.S. healthcare to identify this provider.
Would TRACY ELAINE LANE (AGPCNP-CNP) appear as active to a payer?
You can treat TRACY ELAINE LANE (AGPCNP-CNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TRACY ELAINE LANE (AGPCNP-CNP)?
TRACY ELAINE LANE (AGPCNP-CNP) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Oklahoma is TRACY ELAINE LANE (AGPCNP-CNP) registered?
Use Hammon, Oklahoma as the headline location for TRACY ELAINE LANE (AGPCNP-CNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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