Tina Nichole Lane, FNP - Medicare Nurse Practitioner in Lees Summit, MO

Tina Nichole Lane, FNP is a medicare enrolled "Nurse Practitioner" in Lees Summit, Missouri. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carbon Health Medical Group Of Kansas Pa, Carbon Health Medical Group Of Kansas Pa and her current practice location is 400 Sw Longview Blvd Ste 200, Lees Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (913) 215-5008.

Tina Nichole Lane is licensed to practice in Missouri (license number 2019043201) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104470772.

Contact Information

Tina Nichole Lane, FNP
400 Sw Longview Blvd Ste 200,
Lees Summit, MO 64081-2116
(913) 215-5008
Not Available

Map and Direction




Provider's Profile

Full NameTina Nichole Lane
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location400 Sw Longview Blvd Ste 200, Lees Summit, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina Nichole Lane graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104470772
  • Provider Enumeration Date: 07/31/2019
  • Last Update Date: 10/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810325099
  • Enrollment ID: I20200323000630

Medical Identifiers

Medical identifiers for Tina Nichole Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104470772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 135267 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2019043201 (Missouri)Secondary
363L00000XNurse Practitioner 2019043201 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carbon Health Medical Group Of Kansas Pa600221814612
Carbon Health Medical Group Of Kansas Pa600221814612

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina Nichole Lane allows following entities to bill medicare on her behalf.
Entity NameCurana Health Of Missouri-kansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306165337
PECOS PAC ID: 4789716531
Enrollment ID: O20100714001014
Entity NameCarbon Health Medical Group Of Kansas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497357396
PECOS PAC ID: 6002218146
Enrollment ID: O20210712002237
Entity NameEmergency Medicine Services Of Mo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023715182
PECOS PAC ID: 1951766559
Enrollment ID: O20230710001430

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. Tina Nichole 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
Tina Nichole Lane, FNP
400 Sw Longview Blvd Ste 200,
Lees Summit, MO 64081-2116

Ph: (913) 215-5008
Tina Nichole Lane, FNP
400 Sw Longview Blvd Ste 200,
Lees Summit, MO 64081-2116

Ph: (913) 215-5008

Reviews and Comments


Nurse Practitioner Nurses in Lees Summit, MO

Sherry L Broadhurst, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086
Phone: 816-246-4302    
Rachael Goodman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063
Phone: 816-434-5205    Fax: 816-434-5207
Ms. Brenda Sue Salazar, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081
Phone: 913-215-5008    Fax: 816-447-3960
Mr. Thomas Christian Sims, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064
Phone: 816-554-2600    
Brittany Ann Shingleton,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063
Phone: 816-872-8110    
Mrs. Makenzie Kayla Stroup, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064
Phone: 816-533-4398    
Flora Ann Gorham, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064
Phone: 816-554-2600    

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.