Cornelia Lane, AG-ACNP in Jacksonville, FL - Medicare Nurse Practitioner

Cornelia Lane, AG-ACNP is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 953-2000.

Cornelia Lane is licensed to practice in Florida (license number APRN11040095) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982009049.

Contact Information

	Cornelia Lane, AG-ACNP
	4500 San Pablo Rd S, Jacksonville, FL 32224-1865
	(904) 953-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Cornelia Lane
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cornelia Lane graduated from nursing school in 2014

NPI Data:

NPI Number: 1982009049
Provider Enumeration Date: 10/30/2014
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9032433578
Enrollment ID: I20150109002203

Medical Identifiers

Medical identifiers for Cornelia Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982009049	NPI	-	NPPES
1982009049	Medicaid	NC
QNP283	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	5007296 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	APRN11040095 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2274

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cornelia Lane allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Hospice Of Iredell County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336243997 PECOS PAC ID: 2961427018 Enrollment ID: O20051007000835

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cornelia Lane is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cornelia Lane, AG-ACNP 201 E Grover St, Shelby, NC 28150-3917 Ph: (980) 487-3678	Cornelia Lane, AG-ACNP 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Cornelia Lane, AG-ACNP - Medicare Nurse Practitioner in Jacksonville, FL