MOLLY DEVIN LANE – Physician Assistant, NPI 1881154490

MOLLY DEVIN LANE is a healthcare provider. based in Sheppard afb, Texas. specializing in PHYSICIAN ASSISTANT. The NPI Number for MOLLY DEVIN LANE is 1881154490

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY DEVIN LANE
NPI
1881154490
Phone
(813) 545-5676
Address
1409 RODEN BLVD
Enumeration Date
20 March 2019
Last Update Date
20 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
2961890389
Group Practice PAC ID
2567541345
Professional Enrollment ID
I20211103002404
Address ID
NC285011584KI701XXKXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:7State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MOLLY DEVIN LANE

  • 1409 RODEN BLVD

    SHEPPARD AFB, TX 763111378

    Phone: (813) 545-5676

    Type: Location

  • 2700 WAYNE MEMORIAL DR

    GOLDSBORO, NC 275349494

    Phone: (919) 736-1110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: GENZYME CORPORATION ($30).

Total Amount

$87

General + Research + Ownership

Payments

3

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

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: 2021-11-03

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
I20211103002404IPhysician AssistantNCTBD

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
99285Emergency department visit with high level of medical decision making6866$0
99284Emergency department visit with moderate level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 76311)

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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: 2567541345View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MOLLY DEVIN LANE?
NPI 1881154490 is assigned to MOLLY DEVIN LANE under the national enumeration system.
Is MOLLY DEVIN LANE currently active in the NPI registry?
CMS-published data lists MOLLY DEVIN LANE as an active registrant.
What field does MOLLY DEVIN LANE work in?
You can think of MOLLY DEVIN LANE as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MOLLY DEVIN LANE?
We surface Sheppard Afb, Texas for MOLLY DEVIN LANE based on available NPPES addresses.
What if Sheppard Afb, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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