Active NPI
Christine Lane, APRN
- Nurse Practitioner
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2009034995
- Practice address
- 16105 Manchester Rd
Ellisville, MO 63011-2001 - Phone
- (866) 825-3227
- NPI assigned
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2009034995 | MO | |
| Nurse Practitioner | 363L00000X | 2009034995 | MO | Primary |
Addresses
Primary practice location
16105 Manchester Rd
Ellisville, MO 63011-2001
Mailing address
1296 Jeffco Blvd
Arnold, MO 63010-2138
Phone (636) 321-8618
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clane102609@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12303 Depaul Dr
SSM Health Depaul Hospital Physician Billin
Bridgeton, MO 63044-2512
Phone (314) 344-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| SSM Health Care St. Louis | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1296 Jeffco Blvd
Arnold, MO 63010
Phone (636) 321-8600
1345 Smizer Mill Rd
Ste 1350
Fenton, MO 63026
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805
2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520
1475 Kisker Rd
Ste 120
Saint Charles, MO 63304
Phone (636) 498-7400
711 Veterans Memorial Pkwy
Saint Charles, MO 63303
Phone (636) 669-2200
8820 Manchester Rd
Saint Louis, MO 63144
Phone (314) 963-8100
2341 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 731-6265
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1265754147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1296 JEFFCO BLVD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630102138",
"telephone_number": "636-321-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16105 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112001",
"telephone_number": "866-825-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "CHRISTINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2009034995",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2009034995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clane102609@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clane102609@direct-ehr-ssmhc.com",
"address_1": "1296 Jeffco Blvd",
"city": "Arnold",
"state": "MO",
"country_code": "US",
"postal_code": "630102138",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1296 Jeffco Blvd",
"city": "Arnold",
"state": "MO",
"country_code": "US",
"postal_code": "630102138",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.