Active NPI
Angela Anne Lane, NURSE PRACTITIONER
- Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1437781309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012798
- Practice address
- 1984 S 16TH St Ste 1
Wilmington, NC 28401-6674 - Phone
- (910) 452-8633
- Fax
- (910) 452-8569
- NPI assigned
- Feb 10, 2020
- Last updated
- May 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012798 | NC | Primary |
Addresses
Primary practice location
1984 S 16TH St Ste 1
Wilmington, NC 28401-6674
Mailing address
PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1984 S 16TH St
Suite 1
Wilmington, NC 28401-6674
Phone (910) 452-8633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012798 | NC | MD | Nurse Practitioner |
Interoperability endpoints
- alane1248320@direct.novanthealth.org
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.
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1396893640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1437781309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15109",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284085109",
"telephone_number": "910-392-2525",
"fax_number": "910-392-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 S 16TH ST STE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016674",
"telephone_number": "910-452-8633",
"fax_number": "910-452-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ANGELA",
"middle_name": "ANNE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.