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

Dr. Michael Jennings Lane Sr., DNPPMHNP-BC

Individual provider Emergency Registered Nurse · NPI 1457932337

Dr. Michael Jennings Lane Sr., DNPPMHNP-BC is a Nurse Practitioner in Munster, Indiana. Graduated from Rush Medical College of Rush University in 2020, 6 years ago. Practices with Optimed Healthcare Partners PLLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
6
Trained at
Rush Medical College of Rush University
Licensed in
IL, IN
In the registry since
2021
Specialties on file
4

Practice location Address checks out

10110 Donald S Powers Dr Ste 101C
Munster, IN 46321-4070
Phone: (269) 250-8013
Fax: (877) 326-2856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6625 W Lincoln Hwy, Crown Point, IN 46307-9678 — (219) 922-8051

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71011081A (IN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 041354134 (IL)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 28230854A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209023083 (IL)

Record details

NPI number1457932337
Entity typeIndividual (Type 1)
GenderMale
Credentials DNPPMHNP-BC
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Optimed Healthcare Partners Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Munster