Individual provider Active NPI

Jennifer Lee Lane, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1376419200
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1214517 Issued in TX
Practice address
630 W 34TH St Ste 301
Austin, TX 78705-1217
Phone
(512) 212-4670
Fax
(512) 212-4670
NPI assigned
Oct 16, 2025
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 1214517 TX Primary

Addresses

Primary practice location

630 W 34TH St Ste 301
Austin, TX 78705-1217

Mailing address

630 W 34TH St Ste 301
Austin, TX 78705-1217
Phone (512) 212-4670

Other practice location 1

473 Bella Rose
Belton, TX 76513-0203
Phone (254) 394-2194 ext. 42194

Other practice location 2

13830 Sawyer Ranch Rd Ste 301
Dripping Springs, TX 78620-5514
Phone (512) 212-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251208000749 TX Practitioner - Nurse Practitioner 5395238323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Psych Care PLLCGroup PAC ID 8325480494, 10 clinicians

Practice addresses (Care Compare)

5931 Crosslake Pkwy
Waco, TX 76712-6986
Phone (254) 870-4874

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1214517TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Psych Care PLLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

2700 Cullen Blvd
Unit 84407
Pearland, TX 77584

5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1376419200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051217",
            "telephone_number": "512-212-4670",
            "fax_number": "512-233-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051217",
            "telephone_number": "512-212-4670",
            "fax_number": "512-212-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "473 Bella Rose",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "765130203",
            "country_code": "US",
            "telephone_number": "254-394-2194 x42194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13830 Sawyer Ranch Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205514",
            "country_code": "US",
            "telephone_number": "512-212-4670",
            "fax_number": "512-233-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1214517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.