Individual provider Active NPI

Nicole R Lane, CRNA

  • Certified Registered Nurse Anesthetist
  • Lee's Summit, MO
National Provider Identifier
1114468527
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2021007302 Issued in MO
Practice address
2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Phone
(816) 282-5000
Fax
(913) 428-2951
NPI assigned
Mar 17, 2017
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 557528 KS
Certified Registered Nurse Anesthetist 367500000X 2021007302 MO Primary
Registered Nurse 163W00000X 2016037397 MO
Registered Nurse 163W00000X 139473 KS
Registered Nurse 163W00000X RN620227 PA

Addresses

Primary practice location

2100 SE Blue Pkwy
Lees Summit, MO 64063-1007

Mailing address

8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900

Other practice location 1

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone (913) 632-2230

Other identifiers 4

IdentifierTypeStateIssuer
P01943603OtherKSRAILROAD
201170340AMedicaidKS
910056108MedicaidMO
55112011OtherKSBCBS KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170922003198 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729352190 Reassigns benefits to 2 organizations
I20210603001150 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729352190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

10730 Nall Ave
100 South Kansas City Surgicenter
Overland Park, KS 66211-1242
Phone (913) 901-9000

2100 SE Blue Pkwy
Lees Summit Medical Center
Lees Summit, MO 64063-1007
Phone (816) 282-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
139473KSMDRegistered Nurse
2016037397MOMDRegistered Nurse
RN620227PAMDRegistered Nurse
557528KSMDCertified Registered Nurse Anesthetist
2021007302MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince Jun 2, 2021 Accepting new patients
Midwest Anesthesia Associates, PA Registered Nurse CurrentSince Aug 19, 2017 Accepting new patients
Midwest Heart & Vascular Specialists, LLC PastSince Jun 2, 2021 Accepting new patients

Locations

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1114468527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631007",
            "telephone_number": "816-282-5000",
            "fax_number": "913-428-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 W 74th St",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "662044004",
            "country_code": "US",
            "telephone_number": "913-632-2230",
            "fax_number": "913-789-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557528",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2021007302",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2016037397",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "139473",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN620227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01943603",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201170340A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910056108",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "55112011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.