Individual provider Active NPI

Hiedi Christine Lane, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, IA
National Provider Identifier
1699075929
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G-107550 Issued in IA
Practice address
1200 E Madison Ave
Fairfield, IA 52556
Phone
(319) 321-0798
NPI assigned
Nov 3, 2010
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, MN, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110105000239 IA Practitioner - Nurse Practitioner 9234328329 Reassigns benefits to 2 organizations
Practice locations: Corning, IA; Winterset, IA; Perry, IA; Mount Ayr, IA; Greenfield, IA; Centerville, IA; Bloomfield, IA
I20260115000934 WI Practitioner - Nurse Practitioner 9234328329 Reassigns benefits to 3 organizations
I20260316002056 MN Practitioner - Nurse Practitioner 9234328329 Reassigns benefits to 1 organization
I20260324001989 ND Practitioner - Nurse Practitioner 9234328329 Reassigns benefits to 1 organization

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
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

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

LicenseStateTypeSpecialty
13545MNMDPhysical Therapist
A-107550IAMDFamily Nurse Practitioner
G-107550IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Mar 5, 2026 Accepting new patients
Broadlawns Medical Center CurrentSince May 1, 2025 Accepting new patients
Black River Health Inc CurrentSince Mar 5, 2026 Accepting new patients
CCM Health CurrentSince Mar 1, 2026 Accepting new patients
CCM Health CurrentSince Mar 1, 2026 Accepting new patients
Broadlawns Medical Center CurrentSince May 1, 2025 Accepting new patients
Evizzit of Iowa Psychiatry PC Psychiatric/Mental Health CurrentSince Apr 10, 2025 Accepting new patients
Black River Health Inc CurrentSince Mar 5, 2026 Accepting new patients
Optimae Lifeservices, Inc, Past Accepting new patients
Hiedi Lane Arnp, PLLC Psychiatric/Mental Health PastSince Mar 9, 2020 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 PastSince Dec 26, 2021 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

  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.