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

Mr. Samuel Houston Lane V

Individual provider Family Nurse Practitioner · NPI 1104628940

Mr. Samuel Houston Lane V is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Urgent Care Nevada LLC, a 102-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9785 S Maryland Pkwy Ste 2
Las Vegas, NV 89183-7124
Phone: (702) 474-0077
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 888784 (NV)

Record details

NPI number1104628940
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Urgent Care Nevada Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Las Vegas