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

Jacob Lane

Individual provider Surgical Physician Assistant · NPI 1992248744

Jacob Lane is a Physician Assistant in Des Moines, Iowa. Qualified in 2016, 10 years ago. Practices with Mercy Clinics Inc, a 442-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Iowa.

Years since qualifying
10
Licensed in
AZ, IA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

411 Laurel St Ste 3250
Des Moines, IA 50314-3026
Phone: (515) 643-6400
Fax: (515) 643-5816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2945 S Dobson Rd, Mesa, AZ 85202-7941 — (480) 969-4138
  • 2945 S Dobson Rd, Mesa, AZ 85202-7941 — (480) 969-4138

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 089244 (IA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 860285905 (AZ)

Record details

NPI number1992248744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 28, 2016
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing addressPo Box 1475, Des Moines, IA 50305-1475

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mercy Clinics Inc — 442 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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