Charity Angela Lane, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

121536 Issued in AR

Practice address

104 West State St
Caraway, AR 72419-8553

Phone

(870) 956-0200

Fax

(870) 895-2164

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, TN, TX3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LTC LLC 141 clinicians

Access Medical Clinic Arkansas LLC 143 clinicians

Bradley Bibb MD PLLC 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great River Medical Center Hospital, Blytheville, AR, CCN 040069

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charity.lane.1@29938.direct.athenahealth.com
• Direct secure messaging: charity.lane.1@2424.direct.athenahealth.com
• Direct secure messaging: charity.lane.1@22235.direct.athenahealth.com
• Direct secure messaging: charity.lane.1@22155.direct.athenahealth.com
• Direct secure messaging: charity.lane.1@15024.direct.athenahealth.com

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.

• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436

  AR

  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929

  AR

  Medicare reassignment Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Gatlinburg, TN
  • NPI 1023621646

  TN

  Medicare reassignment NPD
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1376232561

  TX

  Medicare reassignment NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Perryville, AR
  • NPI 1124539648
  Care Compare group NPD
• Bradley Bibb, MD PLLC

  • Rural Health Clinic/Center
  • Dardanelle, AR
  • NPI 1568904480
  Care Compare group NPD
• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  Care Compare group NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  Care Compare group NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647

  AR

  Medicare reassignment
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Concord, AR
  • NPI 1235664772
  Care Compare group
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Lonoke, AR
  • NPI 1265065064
  Care Compare group
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Cave City, AR
  • NPI 1417563321
  Care Compare group

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

• Mississippi County Hospital System

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1225679558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002",
            "telephone_number": "870-856-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST STATE ST",
            "city": "CARAWAY",
            "state": "AR",
            "postal_code": "724198553",
            "telephone_number": "870-956-0200",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Highway 62 412",
            "address_purpose": "LOCATION",
            "city": "Ash Flat",
            "state": "AR",
            "postal_code": "725139594",
            "country_code": "US",
            "telephone_number": "870-994-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 N Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Weiner",
            "state": "AR",
            "postal_code": "724799289",
            "country_code": "US",
            "telephone_number": "870-605-0014",
            "fax_number": "501-468-0472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Glades Rd",
            "address_purpose": "LOCATION",
            "city": "Gatlinburg",
            "state": "TN",
            "postal_code": "377385658",
            "country_code": "US",
            "telephone_number": "865-436-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 WFM 700",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204120",
            "country_code": "US",
            "telephone_number": "432-264-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "CHARITY",
        "middle_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121536",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1054179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie M Brown, APRN
• Caraway Drug L.L.C
• Erin Elizabeth Clay, MCD, CCC-SLP
• Riley Carlton Wade Grogan
• Mark S Hahn, DO
• Shawna Larae Miller
• April Ann Nutt, APRN
• Robin Nicole Rea
• Connie Hill Stephens, PA
• The Daily Dose, LLC

• All providers in Caraway, AR
• Family Nurse Practitioner in Arkansas

• 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.

Verify at the official NPI Registry.