Individual provider Active NPI

Karyn Rebecca Lane, ARNP

  • Family Nurse Practitioner
  • Wright City, OK
National Provider Identifier
1306088927
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0060099 Issued in OK
Practice address
General Delivery
Wright City, OK 74766-9999
Phone
(580) 981-2104
Fax
(580) 981-2105
NPI assigned
Mar 27, 2009
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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 R0060099 OK Primary

Addresses

Primary practice location

General Delivery
Wright City, OK 74766-9999

Mailing address

PO Box 650
Wright City, OK 74766-0650
Phone (580) 981-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090422000492 OK Practitioner - Nurse Practitioner 3173670551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCurtain Memorial Medical Management, Inc.Group PAC ID 8022926252, shared by 7 NPIs, 14 clinicians

Practice addresses (Care Compare)

8901 N US Hwy 259
Broken Bow, OK 74728-7086
Phone (580) 208-3103

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0060099OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Sep 4, 2019 Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Sep 4, 2019 Accepting new patients
Choice Home Health, Inc Past Accepting new patients
McCurtain Memorial Medical Management, Inc. Past Accepting new patients

Locations

8901 N US Highway 259
Broken Bow, OK 74728
Phone (580) 494-6562

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

1315 S Lynn Ln
Idabel, OK 74745
Phone (580) 286-2947

101 E Terri Dr
Valliant, OK 74764
Phone (580) 933-9025

Interoperability endpoints

  • Direct secure messaging: karyn.lane.1@19961.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1306088927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "WRIGHT CITY",
            "state": "OK",
            "postal_code": "747660650",
            "telephone_number": "580-981-2104",
            "fax_number": "580-981-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENERAL DELIVERY",
            "city": "WRIGHT CITY",
            "state": "OK",
            "postal_code": "747669999",
            "telephone_number": "580-981-2104",
            "fax_number": "580-981-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KARYN",
        "middle_name": "REBECCA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0060099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright City, OK

Sources for this page

Verify at the official NPI Registry.