JACOB LANE
NPI 1992248744
Physician Assistant - Surgical in Des Moines, IA
NPI Status: Active since November 28, 2016
Contact Information
411 LAUREL ST STE 3250
DES MOINES, IA
ZIP 50314
Phone: (515) 643-6400
Fax: (515) 643-5816
- Individual
- Male
- Years of Experience 10
- Physician Assistant
- Surgical
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JACOB LANE
This page provides the complete NPI Profile along with additional information for Jacob Lane, a provider established in Des Moines, Iowa with a medical specialization in Physician Assistant, focusing in surgical and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1992248744 assigned on November 2016. The practitioner's primary taxonomy code is 363AS0400X with license number 089244 (IA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1992248744
- Provider Name
- JACOB LANE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 411 LAUREL ST STE 3250 DES MOINES, IA 50314
- Location Phone
- (515) 643-6400
- Location Fax
- (515) 643-5816
- Mailing Address
- PO BOX 1475 DES MOINES, IA 50305
- Mailing Phone
- (515) 643-6400
- Mailing Fax
- (515) 643-5816
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-28-2016
- Last Update Date
- 03-04-2021
- Code Navigator
Location Map
Secondary Locations
- 2945 S Dobson Rd
Mesa, AZ 85202
(480) 969-4138 - 2945 S Dobson Rd
Mesa, AZ 85202
(480) 969-4138
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 089244
- License State
- IA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 860285905 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver | MercyOne - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jacob Lane is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Jacob Lane is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729363718
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20171211001832
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Initial hospital inpatient care per day, typically 70 minutes
Replacement of knee joint, both sides of knee
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 31 times for 24 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 14 times for 14 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 15 times for 15 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jacob Lane is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
KOSSUTH REGIONAL HEALTH CENTER | 1515 SOUTH PHILLIPS STREET ALGONA, IA 50511 | (515) 295-2451 | Critical Access Hospitals |
Reviews for JACOB LANE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 9 | 2 | 2 | 4 | 8 | 7 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 18 | 2 | 4 | 4 | 16 | 7 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 8 + 2 + 4 + 4 + 1 + 6 + 7 + 8 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1992248744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1255840781 | SHARISSE FIORI ARNP Individual | Nurse Practitioner (Family) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1710403621 | BRYSON EDWIN CREWS PA-C Individual | Physician Assistant | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1760487151 | CASS FRANKLIN M.D. Individual | Surgery | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1871699751 | MR. JOSEPH MARK SAWHILL ARNP Individual | Nurse Practitioner | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1710258538 | CLINTON R. SMITH ARNP Individual | Nurse Practitioner | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1275950339 | JEFFREY SISUL ARNP Individual | Nurse Practitioner (Family) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1881165603 | HEIDI HA ARNP Individual | Nurse Practitioner | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1487031167 | JOHN POPOVICH M.D. Individual | Surgery (Surgical Critical Care) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1932582061 | EA-SLE CHANG M.D. Individual | Surgery (Surgical Critical Care) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1518681774 | PHILLIP ALLEN CAMPBELL ARNP Individual | Nurse Practitioner | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1962767491 | DR. OMER HASSAN MUSA ISMAIL MD Individual | Surgery | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1124545231 | ERIN NICOLE HAVERKAMP PA-C Individual | Physician Assistant | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1982885539 | BRIDGET ANNE BURKE DNP Individual | Nurse Practitioner | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1487952628 | DR. JEFFREY CLAUDE NEITZEL DO Individual | Surgery (Surgical Critical Care) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1700225430 | DR. JOSEPH M LOSH D.O. Individual | Surgery (Surgical Critical Care) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1396261996 | KATELYN DANIELLE STEIN PA-C Individual | Physician Assistant | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
1558628677 | LAWRENCE L SANN M.D. Individual | Surgery (Surgical Critical Care) | 411 LAUREL ST STE 3250 DES MOINES, IA 50314 (515) 643-6400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992248744, enumerated in the NPI registry as an "individual" on November 28, 2016
The provider is located at 411 Laurel St Ste 3250 Des Moines, Ia 50314 and the phone number is (515) 643-6400
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 10 years of experience.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Initial hospital inpatient care per day, typically 70 minutes and Replacement of knee joint, both sides of knee.
The practitioner is affiliated to the following hospital(s): KOSSUTH REGIONAL HEALTH CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 28, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.