Individual provider Active NPI

Paula Smith-Lane, MSN, CRNP

  • Family Nurse Practitioner
  • Hallstead, PA
National Provider Identifier
1396707576
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP0004355B Issued in PA
Practice address
26 Rose St
Hallstead, PA 18822-8874
Phone
(570) 879-3040
Fax
(570) 879-3043
NPI assigned
Apr 4, 2006
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 UP0004355B PA Primary

Addresses

Primary practice location

26 Rose St
Hallstead, PA 18822-8874

Mailing address

71 Hospital Dr
Towanda, PA 18848-9702
Phone (507) 265-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150225001814 PA Order and Referring Only - Nurse Practitioner 9830415439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
UP0004355BPAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1396707576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489702",
            "telephone_number": "507-265-6300",
            "fax_number": "570-268-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROSE ST",
            "city": "HALLSTEAD",
            "state": "PA",
            "postal_code": "188228874",
            "telephone_number": "570-879-3040",
            "fax_number": "570-879-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-LANE",
        "first_name": "PAULA",
        "credential": "MSN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP0004355B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallstead, PA

Sources for this page

Verify at the official NPI Registry.