Mctisa Michelle Lane, FNP - Medicare Nurse Practitioner in Fort Liberty, NC

Mctisa Michelle Lane, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Liberty, North Carolina. Her current practice location is 2817 Reilly St, Fort Liberty, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 907-2575.

Mctisa Michelle Lane is licensed to practice in North Carolina (license number 5005342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669756177.

Contact Information

Mctisa Michelle Lane, FNP
2817 Reilly St,
Fort Liberty, NC 28310-4056
(910) 907-2575
(910) 907-9606

Map and Direction




Provider's Profile

Full NameMctisa Michelle Lane
GenderFemale
SpecialityNurse Practitioner - Family
Location2817 Reilly St, Fort Liberty, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669756177
  • Provider Enumeration Date: 10/03/2011
  • Last Update Date: 07/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244469344
  • Enrollment ID: I20140213000772

Medical Identifiers

Medical identifiers for Mctisa Michelle Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669756177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5005342 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mctisa Michelle Lane is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mctisa Michelle Lane, FNP
Bldg 5-4257 Bastogne St,
Fort Liberty, NC 28310-8862

Ph: (910) 907-2575
Mctisa Michelle Lane, FNP
2817 Reilly St,
Fort Liberty, NC 28310-4056

Ph: (910) 907-2575

Reviews and Comments


Nurse Practitioner Nurses in Fort Liberty, NC

Judith Anne Moon,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Mrs. Miranda Ammons Hilburn,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5-4257 Bastogne Drive, Fort Liberty, NC 28310
Phone: 910-907-9066    
Richkard Saint Louis,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Clark Health Clinic Womack 5-4257 Bastonge St, Fort Liberty, NC 28310
Phone: 910-907-2575    Fax: 910-907-9606
Lachish Jasmin Latimer, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8333    
Dr. Tayeshawn Larraine Sembly, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1-2539 R Miller Street, Fort Liberty, NC 28310
Phone: 910-907-9844    
Bethlehem Addis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310
Phone: 910-907-6000    
Dr. Lauren Nicole Nash, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Clark Health Clinic, 4527 Bastogne, Fort Liberty, NC 28310
Phone: 910-907-2575    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.