Michael Jennings Lane Sr., DNP PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71011081A Issued in IN

Practice address

10110 Donald S Powers Dr Ste 101C
Munster, IN 46321-4070

Phone

(269) 250-8013

Fax

(877) 326-2856

NPI assigned

Apr 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Rush Medical College of Rush University, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optimed Healthcare Partners PLLCGroup PAC ID 6305283011, 4 clinicians

Nwi Clarity ClinicGroup PAC ID 5991082976, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccin.michael.lane@138327.advancedmd-direct.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA

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.

• Nwi Clarity Clinic

  • Clinical Social Worker
  • Munster, IN
  • NPI 1619412160
  Medicare reassignment Care Compare group NPD
• Optimed Healthcare Partners, PLLC

  dba OptiMed Healthcare Partners

  • General Practice Physician
  • Kalamazoo, MI
  • NPI 1538840780

  IN

  Medicare reassignment Care Compare group NPD
• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Dr Mary Tilak PC

  • Obesity Medicine (Internal Medicine) Physician
  • Munster, IN
  • NPI 1003096900
  Medicare reassignment NPD
• Munster Behavioral Health, Inc

  • Psychiatry Physician
  • Munster, IN
  • NPI 1295330736
  Medicare reassignment NPD
• Cardiovascular Consultants PC

  • Cardiovascular Disease Physician
  • Munster, IN
  • NPI 1538106711
  NPD (past)
• Optimed Health Partners Inc

  dba OptiMed Specialty Pharmacy

  • Specialty Pharmacy
  • Kalamazoo, MI
  • NPI 1033489562
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1457932337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 DONALD S POWERS DR STE 101C",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214070",
            "telephone_number": "269-250-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DONALD S POWERS DR STE 101C",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214070",
            "telephone_number": "269-250-8013",
            "fax_number": "877-326-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463079678",
            "country_code": "US",
            "telephone_number": "219-922-8051",
            "fax_number": "219-922-8608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "MICHAEL",
        "middle_name": "JENNINGS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DNP PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041354134",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IN",
            "license": "28230854A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209023083",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011081A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Ridge Pediatric Dentistry, Inc
• Lake Surgical Associates, LLC
• Lake Urology LLC
• Amy Lynne Lambert
• Elvia Lamegos
• John Langford, MD
• Courtney Lanning
• Laporte Pediatrics PC (Children's Clinic Munster)
• Eric Lara, FNP-C
• Danielle Lareau, PTA

• Psychiatric/Mental Health Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.

Verify at the official NPI Registry.