Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KATELYN NICOLE LANGE PA-C
NPI 1144892910
Physician Assistant - Medical in Troy, MI

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
215 EAST BIG BEAVER, SUITE 200, TROY, MI 48083(248) 362-3500(248) 362-1941 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Jul 12, 2021 (2 updates tracked since 2021).

About Mrs. Katelyn Nicole Lange Pa-c NPPES

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

MRS. KATELYN NICOLE LANGE PA-C (NPI 1144892910) is an individual medical provider in Troy, Michigan, licensed in Michigan (5601010371) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144892910
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATELYN NICOLE LANGECredential: PA-C
Location Address215 EAST BIG BEAVER, SUITE 200Troy, MI 48083
Mailing Address215 East Big Beaver, Suite 200Troy, MI 48083 · (248) 362-3500 · Fax (248) 362-1941
Fax(248) 362-1941
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 12, 2021
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1144892910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601010371
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601010371 (MI)
215 EAST BIG BEAVER, Troy, MI 48083

Other Names 1

Former Name (1)Katelyn Nicole Kreitzbender

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katelyn Nicole Lange Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587068465
PECOS Enrollment IDI20210816000151
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
101 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services50 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
33 services27 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
28 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
14 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Lange's NPI number?

The NPI number for Katelyn Lange is 1144892910. It was assigned to this individual provider in the NPPES registry on July 12, 2021. The provider is also known as Katelyn Nicole Kreitzbender.

Where is Katelyn Lange located?

Katelyn Lange practices at 215 East Big Beaver Suite 200, Troy, MI 48083. The listed phone number is (248) 362-3500.

What is Katelyn Lange's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katelyn Lange enrolled in Medicare?

Yes. Katelyn Lange is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katelyn Lange was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.