Individual provider Active NPI

Brenda K Lane, ARNP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1013010560
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44890 Issued in KS
Practice address
10600 Quivira Road
Suite 430
Overland Park, KS 66215
Phone
(913) 541-3230
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44890 KS Primary

Addresses

Primary practice location

10600 Quivira Road
Suite 430
Overland Park, KS 66215

Mailing address

14638 South Lucille St
Olathe, KS 66062
Phone (913) 851-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000874 KS Practitioner - Nurse Practitioner 2860486362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Kansas LLCGroup PAC ID 4082046412, 14 clinicians

Practice addresses (Care Compare)

8505 College Blvd
Overland Park, KS 66210-1836
Phone (913) 541-3230

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
88.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Kansas, LLC CurrentSince Nov 11, 2019 Accepting new patients
Dermatology Associates, Inc. PastSince Dec 31, 1991 Accepting new patients

Locations

8505 College Blvd
Overland Park, KS 66210
Phone (913) 541-3230

10600 Quivira Rd
Ste 430
Overland Park, KS 66215
Phone (913) 541-3230

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: brenda.lane@epiphanyderm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013010560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14638 SOUTH LUCILLE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-851-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA ROAD",
            "address_2": "SUITE 430",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-541-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BRENDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.