Individual provider Active NPI

Nicole Louise Lane, PA-C

  • Physician Assistant
  • Chapel Hill, NC
National Provider Identifier
1992848048
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03065 Issued in NC
Practice address
6011 Farrington Rd Ste 201
Chapel Hill, NC 27517-8169
Phone
(984) 974-5700
Fax
(984) 974-7470
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03065 NC Primary

Addresses

Primary practice location

6011 Farrington Rd Ste 201
Chapel Hill, NC 27517-8169

Mailing address

6011 Farrington Rd Ste 201
Chapel Hill, NC 27517-8169
Phone (984) 974-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlane175839@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000236 NC Practitioner - Physician Assistant 0547417511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

6118 Farrington Rd
Suite a
Chapel Hill, NC 27517-8108
Phone (984) 974-9977

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince May 9, 2016 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Apr 1, 2013 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

6118 Farrington Rd
Ste A
Chapel Hill, NC 27517
Phone (984) 974-9977

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1181 Weaver Dairy Rd
Ste 110
Chapel Hill, NC 27514
Phone (984) 974-5080

6011 Farrington Rd
Ste 201
Chapel Hill, NC 27517
Phone (984) 974-5700

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1992848048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD STE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178169",
            "telephone_number": "984-974-5700",
            "fax_number": "984-974-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD STE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178169",
            "telephone_number": "984-974-5700",
            "fax_number": "984-974-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "NICOLE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlane175839@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6011 Farrington Rd Ste 201",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275178169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.