Individual provider Active NPI

Lane Scott Lindeman, PA

  • Physician Assistant
  • Iron Mountain, MI
National Provider Identifier
1598113177
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007760 Issued in MI
Practice address
1711 S Stephenson Ave Ste 100
Iron Mountain, MI 49801-3648
Phone
(906) 776-5250
Fax
(906) 228-0217
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007760 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave Ste 100
Iron Mountain, MI 49801-3648

Mailing address

1509 S Grant St
Iron Mountain, MI 49801-2119
Phone (906) 282-3413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160808002088 MI Practitioner - Physician Assistant 6608160098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1711 S Stephenson Ave
Iron Mountain, MI 49801-3648

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson County Healthcare System Physician Assistant CurrentSince Jul 3, 2016 Accepting new patients
Dickinson County Healthcare System CurrentSince Jul 3, 2016 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Dickinson County Healthcare System CurrentSince Feb 7, 2024 Accepting new patients

Locations

1711 S Stephenson Ave
Ste 100
Iron Mountain, MI 49801
Phone (906) 776-5250

1711 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-0550

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

Interoperability endpoints

  • Direct secure messaging: lane.lindeman.1@22710.direct.athenahealth.com
  • Direct secure messaging: lane.lindeman@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1598113177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S GRANT ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012119",
            "telephone_number": "906-282-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE STE 100",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013648",
            "telephone_number": "906-776-5250",
            "fax_number": "906-228-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMAN",
        "first_name": "LANE",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.