ALLYSON LANGE PA - NPI 1114885928 - Physician Assistant in Wyoming, MI

Q: What is Allyson Lange's NPI number?

The NPI number for Allyson Lange is 1114885928. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Q: What is Allyson Lange's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Allyson Lange was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Allyson Lange Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLYSON LANGE PA (NPI 1114885928) is an individual physician assistant in Wyoming, Michigan and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wyoming, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114885928

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALLYSON LANGECredential: PA

Location Address2221 HEALTH DR SW STE 2100Wyoming, MI 49519-9650

Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7200

Phone(616) 252-4410

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 12, 2026

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1114885928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

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.

2221 HEALTH DR SW STE 2100, Wyoming, MI 49519

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Secondary Practice Location 1

Location 15900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allyson Lange Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294216669

PECOS Enrollment IDI20260224002113

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN K HICKS D.O.

Obstetrics & Gynecology