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

Krystal J Lane, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1437684271

Krystal J Lane, FNP-BC is a Nurse Practitioner in Fort Mill, South Carolina. Qualified in 2017, 9 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois, South Carolina and Wisconsin.

Years since qualifying
9
Licensed in
IL, SC, WI
In the registry since
2017
Specialties on file
5
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

710 Joy Dr
Fort Mill, SC 29715-8402
Phone: (803) 322-6548
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 1441 Branding Ave Ste 310, Downers Grove, IL 60515-5624 — (262) 693-4312
  • 1441 Branding Ave Ste 310, Downers Grove, IL 60515-5624 — (262) 693-4312
  • 14555 W National Ave, New Berlin, WI 53151-4494 — (844) 284-0381

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21101 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 17563 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 209-033232 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Nurse Practitioner Taxonomy 363L00000X · Licence 21101 (SC)

Record details

NPI number1437684271
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Mill