Active NPI
Robert David Lane, DNP
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1114944683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71014550A
- Practice address
- 720 Eskenazi Ave
Indianapolis, IN 46202-5187 - Phone
- (317) 880-7666
- Fax
- (317) 880-0448
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 75862 | WV | |
| Adult Health Nurse Practitioner | 363LA2200X | R0045798 | OK | |
| Gerontology Nurse Practitioner | 363LG0600X | 75862 | WV | |
| Nurse Practitioner | 363L00000X | 71014550A | IN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 75862 | WV | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 75862 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 252761 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 75862 | WV |
Addresses
Primary practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300083587 | Medicaid | IN | |
| 100848390A | Medicaid | OK | |
| 7006282 | Medicaid | NC | |
| 100848390B | Medicaid | OK | |
| 1114944683 | Medicaid | NC | |
| NP2067 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rlane135789@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Eskenazi Ave
Sandra Eskenazi Mental Healthcenter
Indianapolis, IN 46202-5187
Phone (317) 880-7666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0045798 | OK | MD | Adult Health Nurse Practitioner |
| 75862 | WV | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Nurse Practitioner | Current | Accepting new patients |
Locations
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
Interoperability endpoints
- rlane135789@direct.eskenazihealth.edu
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1871311779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1114944683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637764",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637764",
"telephone_number": "317-880-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025187",
"telephone_number": "317-880-7666",
"fax_number": "317-880-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "75862",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OK",
"license": "R0045798",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WV",
"license": "75862",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014550A",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "75862",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "WV",
"license": "75862",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "252761",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WV",
"license": "75862",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300083587",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100848390A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7006282",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100848390B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114944683",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2067",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rlane135789@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.