Tina Nichole Lane, FNP
NPI 1104470772ActiveIndividual· Nurse Practitioner· Lees Summit, MO
Nurse Practitioner (FNP) with Camden Emergency Group LLC and 1 other group, practicing in Lees Summit, Missouri. 119 Medicare patients in 2024, $11,580 paid; nearly all of their 400 Part D prescriptions were generic (94%). Lists Lake Regional Health System as a hospital affiliation.
Overview
| NPI | 1104470772 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jul 31, 2019 |
| Last updated in NPPES | Oct 25, 2021 |
| Certified by provider | Oct 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2019043201 | MO |
| Registered Nurse, Emergency | 163WE0003X | 135267 | MO |
| Nurse Practitioner, Family | 363LF0000X | 2019043201 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KS); Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 232 across 33 procedure codes |
| Paid by Medicare | $11,580 |
Part D prescriptions in 2024
| Prescriptions (claims) | 400 · 405 30-day fills |
|---|---|
| Patients | 204 |
| Total drug cost | $6,051 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Camden Emergency Group LLCOsage Beach, MO · 31 clinicians
- Carbon Health Medical Group of Kansas PAOverland Park, KS · 11 clinicians
Hospital affiliation
- Lake Regional Health SystemOsage Beach, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Lees Summit
- 1962262527
- 1285598003
- 1609118702
- 1649934340
- 1740605534
- 1649878067
- 1831730357
- 1982952511
- 1730646647
- 1114465457
- 1497435432
- 1003271412