SHELBY A LANE PA-C NPI 1710230651

NPI Information

  • NPI: 1710230651
  • Provider Name: SHELBY A LANE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3319 NE 15TH CT
    FORT LAUDERDALE, FL
    ZIP 33304
  • Phone: (954) 257-7859

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NPI Details

Shelby A Lane, PA-C is a surgical physician assistant in Fort Lauderdale, FL with 13 years of experience. Shelby A Lane, PA-C NPI is 1710230651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3319 NE 15TH CT
FORT LAUDERDALE, FL
ZIP 33304-709
Phone: (954) 257-7859
Fax: (954) 616-8063

The NPI 1710230651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)

The enumeration date for this NPI number is 10/16/2012 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA 9106913FLORIDANo
2363AS0400XPhysician AssistantSurgicalPA 9106913FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G9675ZOTHERFLORIDAMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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