Individual provider Active NPI

Michelle L Lane

  • Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1639730690
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
344578 Issued in NY
Practice address
301 Prospect Ave FL 6
Syracuse, NY 13203-1807
Phone
(315) 448-5491
Fax
(315) 423-6823
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32016 SC
Nurse Practitioner 363L00000X 344578 NY Primary

Addresses

Primary practice location

301 Prospect Ave FL 6
Syracuse, NY 13203-1807

Mailing address

301 Prospect Ave FL 6
Syracuse, NY 13203-1807
Phone (315) 448-5491

Other practice location 1

2220 N Beltline Blvd
Columbia, SC 29204-3907
Phone (839) 600-9101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190827000176 NY Practitioner - Nurse Practitioner 5698003887 Reassigns benefits to 6 organizations
I20260615002833 SC Practitioner - Nurse Practitioner 5698003887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E McBee Ave
FL 4
Greenville, SC 29601-2842

300 E McBee Ave
Suite 300
Greenville, SC 29601-2899

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Nascentia Health at Home Home health agency, Syracuse, NY, CCN 337052
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
344578NYMDInternal Medicine Physician
32016SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Dec 23, 2023 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Apr 1, 2020 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Jul 24, 2019 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jun 1, 2021 Accepting new patients
East Hill Family Medical, Inc. CurrentSince May 5, 2020 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Jun 20, 2026 Accepting new patients
Preventive Medicine Associates LLC CurrentSince Aug 1, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jun 1, 2021 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Apr 1, 2020 Accepting new patients
St Josephs Hospital Health Center CurrentSince Jul 24, 2019 Accepting new patients
Loretto Health and Rehabilitation Center CurrentSince Aug 19, 2019 Accepting new patients
Prisma Health Medical Group-Midlands PastSince Jun 20, 2026 Accepting new patients
East Hill Family Medical, Inc. PastSince Apr 13, 2025 Accepting new patients

Locations

144 Genesee St
Ste 500
Auburn, NY 13021
Phone (315) 253-6796

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

13 N Fulton St
Auburn, NY 13021
Phone (315) 253-8477

144 Genesee St
Ste 401
Auburn, NY 13021
Phone (315) 253-8477

5415 W Genesee St
Ste 301
Camillus, NY 13031
Phone (315) 487-8109

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

301 Prospect Ave
Fl 6
Syracuse, NY 13203
Phone (315) 448-5491

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

2220 N Beltline Blvd
Columbia, SC 29204
Phone (839) 600-9101

Interoperability endpoints

  • Direct secure messaging: mlanenp@hiemail.healtheconnections.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1639730690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE FL 6",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5491",
            "fax_number": "315-423-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE FL 6",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5491",
            "fax_number": "315-423-6823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 N Beltline Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292043907",
            "country_code": "US",
            "telephone_number": "839-600-9101",
            "fax_number": "864-984-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "32016",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "344578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.