Individual provider Active NPI

Nicholas Hulshof Lane, NP

  • Family Nurse Practitioner
  • Westmoreland, TN
National Provider Identifier
1164045506
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26526 Issued in TN
Practice address
1124 New Highway 52 E
Westmoreland, TN 37186-5032
Phone
(615) 644-2000
NPI assigned
May 20, 2020
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26526 TN Primary

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 1

TypeEndpointUseAffiliation
Other URL www.advancedmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20201216003173 TN Practitioner - Nurse Practitioner 2365854296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 1658326194, 22 clinicians

Practice addresses (Care Compare)

1124 New Hwy 52 E
Westmoreland, TN 37186-5060
Phone (615) 644-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 15, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 15, 2021 Accepting new patients
Saint Thomas Medical Partners CurrentSince Dec 1, 2020 Accepting new patients
Hope Family Health Services CurrentSince Mar 22, 2022 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
Westmoreland, TN 37186
Phone (615) 644-2000

1124 New Highway 52 E
Ste 420
Westmoreland, TN 37186

12124 Highway 52 W
Ste 5
Westmoreland, TN 37186
Phone (615) 644-2000

Interoperability endpoints

  • Direct secure messaging: nicholas.lane@hfh.eclinicaldirectplus.com

Organizations & group practices 4

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1164045506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 COUNTRY DR APT 153",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116460",
            "telephone_number": "615-495-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 NEW HIGHWAY 52 E",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371865032",
            "telephone_number": "615-644-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "NICHOLAS",
        "middle_name": "HULSHOF",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.advancedmd.com",
            "affiliation": "N",
            "address_1": "5600 Country Dr Apt 153",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372116460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westmoreland, TN

Sources for this page

Verify at the official NPI Registry.