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

Michael Lane

Individual provider Family Nurse Practitioner · NPI 1801357447

Michael Lane is a Nurse Practitioner in Vestal, New York. Qualified in 2019, 7 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone: (607) 729-2144
Fax: (607) 729-2145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344800 (NY)

Record details

NPI number1801357447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJuly 31, 2019
Mailing address33 Lewis Rd, 2nd Fl, Binghamton, NY 13905

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vestal