Lisa A. Lane, M.D.
Individual provider Active NPI Family Medicine Physician · Avilla, IN
NPI 1699760819 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1699760819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01046721 (IN)
- Practice address
- 104 Nicholas PL
Avilla, IN 46710-0069 - Phone
- (260) 897-3308
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
Hospital & facility affiliations
- Parkview Health at Home LLC
- Parkview Hospice
- Parkview Noble Hospital
- Parkview Regional Medical Center
- Parkview Dekalb Hospital
- Parkview Whitley Hospital
- Parkview Lagrange Hospital
- Orchard Pointe Health Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024000945 | IN | Practitioner - Family Practice | 4183641673 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current |
Accepting new patients |
| Community Hospital of Noble County, Inc. | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
104 Nicholas Pl
Avilla, IN 46710
Phone (260) 897-3308
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
1234 E DuPont Rd
Ste 1
Fort Wayne, IN 46825
Phone (260) 266-6060
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
1464 Lincolnway S
#B
Ligonier, IN 46767
Phone (219) 894-7139
Interoperability endpoints
- llane3927@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01046721 | IN | Yes |
Addresses
Primary practice location
104 Nicholas PL
Avilla, IN 46710-0069
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200179590A | Medicaid | IN | |
| 000000570556 | Other | IN | ANTHEM |
| P00354178 | Other | IN | RAILROAD MEDICARE |
| 000000364996 | Other | IN | ANTHEM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | llane3927@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Other providers in Avilla, IN
- Fischer Pharmacare, LLC
- Sara Michele Fuller
- Alison Hullinger
- Dennis W. Lamp
- Kirsten Lane
- Mycal L Mansfield
- Owens Nursinghome for Alzheimers
- Sherri Jo Patillo
- Hanna Schreiber
- Chantell Spohr
All providers in Avilla, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.