Mctisa Lane, FNP
NPI 1669756177 · Family Nurse Practitioner · Fort Bragg, NC
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mctisa Lane, FNP is a Family Nurse Practitioner provider in Fort Bragg, NC (NPI 1669756177).
Provider details
- NPI number
- 1669756177
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5005342 (NC)
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
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 202 Kensington DrSpring Lake, NC 28390-4056Phone: (919) 625-9818
Registry dates
- Enumerated
- 2011-10-03
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Mctisa Lane's NPI number?
- Mctisa Lane's National Provider Identifier (NPI) is 1669756177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mctisa Lane's specialty?
- Mctisa Lane is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mctisa Lane located?
- Mctisa Lane's practice location on file with NPPES is 2817 Rock Merritt Ave Stop a, Fort Bragg, NC 28310-8862.
- What is Mctisa Lane's phone number?
- The practice phone number listed in the NPPES registry for Mctisa Lane is (910) 907-8707.
- Does Mctisa Lane accept Medicare?
- Mctisa Lane is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mctisa Lane's NPI active?
- Yes — Mctisa Lane's NPI (1669756177) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.