Active NPI
Jessica R. Lane, MD
- Neurological Surgery Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101278483
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-9165
- Fax
- (804) 828-0374
- NPI assigned
- Apr 1, 2015
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A178025 | CA | |
| Neurological Surgery Physician | 207T00000X | 0101278483 | VA | Primary |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
417 N 11th St
Richmond, VA 23298-5024
Phone (804) 828-9165
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178025 | CA | MD | Neurological Surgery Physician |
| 0101278483 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Neurological Surgery | Current | Accepting new patients |
Locations
2924 Brook Rd
Richmond, VA 23220
Phone (804) 321-7474
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
1000 E Broad St
Richmond, VA 23219
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1265827752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191930",
"telephone_number": "804-828-9165",
"fax_number": "804-828-0374"
}
],
"practiceLocations": [
{
"address_1": "417 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985024",
"country_code": "US",
"telephone_number": "804-828-9165",
"fax_number": "804-828-0374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-9165",
"fax_number": "804-828-0374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "JESSICA",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A178025",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101278483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.