Samuel Lane
NPI 1104628940 · Family Nurse Practitioner · Las Vegas, NV
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Lane is a Family Nurse Practitioner provider in Las Vegas, NV (NPI 1104628940).
Provider details
- NPI number
- 1104628940
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 888784 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Samuel Lane's NPI number?
- Samuel Lane's National Provider Identifier (NPI) is 1104628940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Lane's specialty?
- Samuel Lane is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Lane located?
- Samuel Lane's practice location on file with NPPES is 9785 S Maryland Pkwy Ste 2, Las Vegas, NV 89183-7124.
- What is Samuel Lane's phone number?
- The practice phone number listed in the NPPES registry for Samuel Lane is (702) 474-0077.
- Does Samuel Lane accept Medicare?
- Samuel Lane is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Lane's NPI active?
- Yes — Samuel Lane's NPI (1104628940) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.