Active NPI
Hiedi Christine Lane, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G-107550
- Practice address
- 1200 E Madison Ave
Fairfield, IA 52556 - Phone
- (319) 321-0798
- NPI assigned
- Nov 3, 2010
- Last updated
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-107550 | IA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G-107550 | IA | Primary |
Addresses
Primary practice location
1200 E Madison Ave
Fairfield, IA 52556
Mailing address
1200 E Madison Ave
Fairfield, IA 52556
Phone (319) 321-0798
Other names 1
- Hiedi Christine Stjarna Lane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI, MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (855) 270-3625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13545 | MN | MD | Physical Therapist |
| A-107550 | IA | MD | Family Nurse Practitioner |
| G-107550 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black River Health Inc | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Evizzit of Iowa Psychiatry PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Black River Health Inc | Current | Accepting new patients | |
| Optimae Lifeservices, Inc, | Past | Accepting new patients | |
| Hiedi Lane Arnp, PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Eastern Iowa Health Center | Past | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients | |
| Evizzit of Iowa Psychiatry PC | Past | Accepting new patients |
Locations
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362
580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362
1501 42nd St
Ste 120
West Des Moines, IA 50266
1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
Interoperability endpoints
- hlane639985@direct.ochin.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
dba Integrated Telehealth Partners
- Psychiatry Physician
- West Des Moines, IA
- NPI 1740841188
ND, Psychiatric/Mental Health, WI
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- Medicare Defined Swing Bed Hospital Unit
- Black River Falls, WI
- NPI 1003914011
-
dba Black River Healthcare Clinic
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
dba Chippewa County Montevideo Hospital Urgent Care
- Urgent Care Clinic/Center
- Montevideo, MN
- NPI 1275057978
-
- Rural Health Clinic/Center
- Milan, MN
- NPI 1457132466
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1578753703
-
- Adult Mental Health Clinic/Center
- West Des Moines, IA
- NPI 1679233183
-
dba Hiedi Lane ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Fairfield, IA
- NPI 1346786704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1699075929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E MADISON AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "52556",
"telephone_number": "319-321-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E MADISON AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "52556",
"telephone_number": "319-321-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "HIEDI",
"middle_name": "CHRISTINE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-107550",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G-107550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HIEDI",
"last_name": "STJARNA LANE",
"middle_name": "CHRISTINE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.