Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth A Lane, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1508110776

Beth A Lane, ANP is a Nurse Practitioner in Alton, Illinois. Qualified in 2012, 14 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
14
Licensed in
IL, MO
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

4 Memorial Dr Ste 230
Alton, IL 62002-6704
Phone: (618) 463-7833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4921 Parkview Pl, Saint Louis, MO 63110-1032 — (314) 747-1947

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-013053 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2012038004 (MO)

Record details

NPI number1508110776
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedNovember 8, 2012
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing addressPo Box 959203, Saint Louis, MO 63195-9203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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