Individual provider Active NPI

Lane Patrick McClung, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1881518603
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1244769 Issued in TX
Practice address
1618 Judson Rd
Longview, TX 75601-3655
Phone
(903) 315-3966
NPI assigned
Aug 5, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 1244769 TX Primary

Addresses

Primary practice location

1618 Judson Rd
Longview, TX 75601-3655

Mailing address

107 Glen Rose TRL
White Oak, TX 75693-3921
Phone (903) 243-4044

Other practice location 1

707 Hollybrook Dr
Longview, TX 75605-2470
Phone (903) 232-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Pediatrics PLLC CurrentSince Aug 24, 2026 Accepting new patients

Locations

1618 Judson Rd
Longview, TX 75601

Organizations & group practices 1

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": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1881518603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLEN ROSE TRL",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756933921",
            "telephone_number": "903-243-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013655",
            "telephone_number": "903-315-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Hollybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052470",
            "country_code": "US",
            "telephone_number": "903-232-8186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "LANE",
        "middle_name": "PATRICK",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1244769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.