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

Tina Nichole Lane, FNP

Individual provider Emergency Registered Nurse · NPI 1104470772

Tina Nichole Lane, FNP is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2019, 7 years ago. Practices with Carbon Health Medical Group of Kansas PA, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

400 SW Longview Blvd Ste 200
Lees Summit, MO 64081-2116
Phone: (913) 215-5008
Show map & directions

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

Additional practice locations (1)

  • 2915 Ne Viewpark Cir, Lees Summit, MO 64086-7104 — (816) 914-5052

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019043201 (MO)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 135267 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2019043201 (MO)

Record details

NPI number1104470772
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021

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 Carbon Health Medical Group Of Kansas Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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