Nicholas Hulshof Lane, NP
Individual provider Active NPI Family Nurse Practitioner · Westmoreland, TN
NPI 1164045506 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1164045506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26526 (TN)
- Practice address
- 1124 New Highway 52 E
Westmoreland, TN 37186-5032 - Phone
- (615) 644-2000
- NPI assigned
- May 20, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hope Family Health Services
Practice addresses (Care Compare)
1124 New Hwy 52 E
Westmoreland, TN 37186-5060
Phone (615) 644-2000
Hospital & facility affiliations
- Macon Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201216003173 | TN | Practitioner - Nurse Practitioner | 2365854296 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Saint Thomas Medical Partners | Current |
Accepting new patients | |
| Hope Family Health Services | Current |
Accepting new patients |
Locations
1911 State St
Nashville, TN 37203
Phone (615) 284-2015
300 20th Ave N
Fl 9
Nashville, TN 37203
10427 Highway 52 W
Westmoreland, TN 37186
Phone (615) 644-2000
1124 New Highway 52 E
Ste 420
Westmoreland, TN 37186
1124 New Highway 52 E
Westmoreland, TN 37186
Phone (615) 644-2000
12124 Highway 52 W
Ste 5
Westmoreland, TN 37186
Phone (615) 644-2000
Interoperability endpoints
- nicholas.lane@hfh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26526 | TN | Yes |
Addresses
Primary practice location
1124 New Highway 52 E
Westmoreland, TN 37186-5032
Mailing address
5600 Country Dr Apt 153
Nashville, TN 37211-6460
Phone (615) 495-4197
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.advancedmd.com |
Other providers in Westmoreland, TN
- Hope Family Health Services
- HQM of Westmoreland, LLC
- Jessica Leigh Hurst
- Sherenai Khan
- Kristen Kovach
- LP Westmoreland LLC
- Sara Leighan Miller
- Danny J. Minor
- Amy Kay Myrick
- Anessa Lor Nixon
All providers in Westmoreland, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.