Individual provider Active NPI

Bambi Lee Lane, APRN

  • Family Nurse Practitioner
  • Meade, KS
National Provider Identifier
1609534940
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80744-102 Issued in KS
Practice address
119 N Hart St
Meade, KS 67864-6402
Phone
(620) 873-2112
NPI assigned
Dec 3, 2021
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 53-80744-102 KS Primary

Addresses

Primary practice location

119 N Hart St
Meade, KS 67864-6402

Mailing address

119 N Hart St
Meade, KS 67864-6402
Phone (620) 873-2112

Other practice location 1

100 W Ross Blvd Ste 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220405000686 KS Practitioner - Nurse Practitioner 6002202843 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80744-102KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meade Hospital District CurrentSince Apr 1, 2022 Accepting new patients
Meade Hospital District CurrentSince Apr 1, 2022 Accepting new patients
Meade Hospital District Current Accepting new patients
Meade Hospital District Past Accepting new patients

Organizations & group practices 5

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1609534940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N HART ST",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678646402",
            "telephone_number": "620-873-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N HART ST",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678646402",
            "telephone_number": "620-873-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Ross Blvd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678017217",
            "country_code": "US",
            "telephone_number": "620-371-5576",
            "fax_number": "620-371-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "BAMBI",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80744-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meade, KS

Sources for this page

Verify at the official NPI Registry.