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

Courtney Anne Lane, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1720410400

Courtney Anne Lane, CNP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2013, 13 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

145 Michigan St NE Ste 4100
Grand Rapids, MI 49503
Phone: (616) 486-5993
Fax: (616) 486-6345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704300862 (MI)

Record details

NPI number1720410400
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedAugust 5, 2013
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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