Individual provider Active NPI

Jessica Lane, M.D.

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1902298748
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
61160 Issued in AZ
Practice address
3085 N Swan Rd
Tucson, AZ 85712-1259
Phone
(520) 323-3099
Fax
(520) 323-3460
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 61160 AZ Primary

Addresses

Primary practice location

3085 N Swan Rd
Tucson, AZ 85712-1259

Mailing address

3085 N Swan Rd
Tucson, AZ 85712-1259
Phone (520) 323-3099

Other practice location 1

5983 E Grant Rd
Tucson, AZ 85712-2365
Phone (520) 721-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903001138 AZ Practitioner - Pediatric Medicine 1456778505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61160AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Lane MD PLLC Pediatrics Current Accepting new patients
Arizona Community Physician PC CurrentSince Oct 1, 2020 Accepting new patients
Arizona Community Physicians PC Pediatrics Current Accepting new patients
Catalina Pediatrics, PC Pediatrics PastSince Sep 23, 2021 Accepting new patients

Locations

1925 W Orange Grove Rd
Ste 302
Tucson, AZ 85704
Phone (520) 797-3888

1925 W Orange Grove Rd
Ste 32
Tucson, AZ 85704

5983 E Grant Rd
Ste 117
Tucson, AZ 85712
Phone (520) 320-7999

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1902298748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121259",
            "telephone_number": "520-323-3099",
            "fax_number": "520-323-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121259",
            "telephone_number": "520-323-3099",
            "fax_number": "520-323-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5983 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122365",
            "country_code": "US",
            "telephone_number": "520-721-5350",
            "fax_number": "520-547-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "61160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.