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Active NPI 1962023820 Individual Practitioner Male Practitioner

Paul Ryan Lane , PA-C

Physician Assistant • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Paul Lane, PA-C is a certified Physician Assistant practicing in Mount Vernon, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Paul Lane delivers high-quality medical care to the local community at 4101 N WATER TOWER PL.

Paul Lane is affiliated with Deaconess Illinois Crossroads Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4101 N Water Tower Pl

Mount Vernon, IL 628646296

Telephone 6182446222
Fax 6182461247
Associated Practice Facility / Clinic
🏢 Crossroads Physician Corp Facility NPI 1790779874

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mount Vernon, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.6 yrs vs City Avg
City Avg: 11.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Mount Vernon, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lane (6 Years) 6 Yrs
Mount Vernon Specialty Average (11.6 Years) 11.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-11-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.007905

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Deaconess Illinois Crossroads Inc

1209 W Robinson St, Wayne City, IL 628959672

Phone: 6188952050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Bayly Adams , APRN

Nurse Practitioner - Family

NPI 1295443653

Advanced Practice Registered Nurse

Ashley Hofer , NP

Nurse Practitioner - Family

NPI 1316419252

Nurse Practitioner

Sonya Mckinney , APRN

Nurse Practitioner

NPI 1407221484

Advanced Practice Registered Nurse

Johanna Estes , RD, IBCLC, MSNFNP-C

Nurse Practitioner - Family

NPI 1558685156

Registered Dietitian, International Board Certified Lactation Consultant, MSNFNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 18, 2020

Registered at 4101 N WATER TOWER PL, MOUNT VERNON, IL 628646296 (Tel: 6182446222)

📍
Updated Business Mailing Address December 18, 2020

Registered at 4101 N WATER TOWER PL, MOUNT VERNON, IL 628646296 (Tel: 6182446222)

👤
Provider Name / Credentials Updated September 17, 2020

Recorded as PAUL LANE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2020

Physician Assistant (License #085.007905 in IL)

NPI Profile Active May 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2020

Registered at 300 W OAK ST, CARBONDALE, IL 629011400 (Tel: 6184538850)

📍
Updated Business Mailing Address May 01, 2020

Registered at 17831 E IL HIGHWAY 15, MOUNT VERNON, IL 628642015 (Tel: 6182923358)

👤
Provider Name / Credentials Updated May 01, 2020

Recorded as PAUL LANE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962023820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2020
Last Update: December 18, 2020
Sole Proprietor: Yes

Mailing Address

4101 N Water Tower Pl

Mount Vernon, IL 628646296

Phone: 6182446222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.