LISA MICHELLE LANE – Family Nurse Practitioner, NPI 1366106759

LISA MICHELLE LANE is a healthcare provider. based in Woodville, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1057387 (TX). The NPI Number for LISA MICHELLE LANE is 1366106759

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LISA MICHELLE LANE
NPI
1366106759
Phone
(409) 283-2822
Address
104 N Beech St
Enumeration Date
22 October 2021
Last Update Date
4 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4097871416
Graduation Year
2021 (5 years ago)
PAC ID
7719895010
Group Practice PAC ID
1759467111
Professional Enrollment ID
I20220916000329
Address ID
TX759487215HE2421XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LISA MICHELLE LANE

  • 104 N Beech St

    Woodville, TX 759794718

    Phone: (409) 283-2822

    Type: Location

  • 200 E LIVINGSTON ST

    SAN AUGUSTINE, TX 759722028

    Phone: (322) 759-9109

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $411.

Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($108).

Total Amount

$411

General + Research + Ownership

Payments

19

Total payment records

General Amount

$411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2022-09-16

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
I20220916000329INurse PractitionerTXTBD

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 minutes378156$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes15221$0
J0696Injection, ceftriaxone sodium, per 250 mg13330$0
99213Established patient office or other outpatient visit, 20-29 minutes13082$0
83036Hemoglobin a1c level13062$0
View full utilization report →

Insurance plans in this area (ZIP 75979)

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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: 1759467111View full group profile
NameSpecialtyState
Nurse PractitionerOK
-TX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Family Practice, Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is LISA MICHELLE LANE's NPI number?
LISA MICHELLE LANE's NPI is 1366106759 — the number used across U.S. healthcare to identify this provider.
Is LISA MICHELLE LANE shown as active in public data?
Registry records indicate LISA MICHELLE LANE maintains an active NPI.
What area of care is associated with LISA MICHELLE LANE?
LISA MICHELLE LANE's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA MICHELLE LANE located near Woodville?
LISA MICHELLE LANE currently maps to Woodville, Texas in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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