LANGE CLANCY DO
NPI 1184126310
Family Medicine in Boise, ID
About Lange Clancy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANGE CLANCY DO (NPI 1184126310) is an individual family medicine provider in Boise, Idaho, licensed in Wisconsin (81177-21) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Crossing Rivers Health Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lange Clancy Do 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.
Medicare Billing Reassignments
8Medicare enrollment records show Lange Clancy reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MN 55901
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1689918377 (Wisconsin)
- 275 clinicians in this Medicare group
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
Mondovi, WI 54755
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1124063573 (Wisconsin)
- 293 clinicians in this Medicare group
Ashland, WI 54806
- Reassigned Medicare billing, Wisconsin enrollment
- 175 clinicians in this Medicare group
Prairie Du Chien, WI 53821
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1619024197 (Wisconsin)
- 231 clinicians in this Medicare group
Boscobel, WI 53805
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1306804794 (Wisconsin)
- 76 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Friendship, WI 53934
- Reassigned Medicare billing, Wisconsin enrollment
- 280 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crossing Rivers Health Medical Center
Critical Access Hospitals · Prairie Du Chien, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lange Clancy's NPI number?
The NPI number for Lange Clancy is 1184126310. It was assigned to this individual provider in the NPPES registry on March 4, 2018.
Where is Lange Clancy located?
Lange Clancy practices at 777 N Raymond St, Boise, ID 83704. The listed phone number is (208) 514-2500.
What is Lange Clancy's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lange Clancy enrolled in Medicare?
Yes. Lange Clancy 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.
Which organizations bill Medicare for Lange Clancy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lange Clancy reassigns Medicare benefits to 8 organizations: Gundersen Lutheran Medical Center Inc (Rochester, MN), Saint Elizabeths Hospital Of Wabasha Inc (Wabasha, MN), Tri-County Memorial Hospital Inc (Mondovi, WI), Memorial Medical Center Inc (Ashland, WI), Prairie Du Chien Memorial Hospital Association Inc (Prairie Du Chien, WI) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lange Clancy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lange Clancy accept?
Health plans from Moda Health Plan, Inc. list Lange Clancy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lange Clancy affiliated with any hospitals?
According to CMS data, Lange Clancy is affiliated with Crossing Rivers Health Medical Center.
When was this NPI record last updated?
The NPPES record for Lange Clancy was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Lange Clancy, DO · NPI 1184126310
Family Medicine physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since March 4, 2018.
## Identity
- **NPI:** 1184126310 (Entity type: Individual)
- **Enumerated:** March 4, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 81177-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 N RAYMOND ST, Boise, ID 83704-9251
- **Phone:** (208) 514-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Gundersen Lutheran Medical Center Inc (NPI 1932826377, Rochester, MN); Saint Elizabeths Hospital Of Wabasha Inc (NPI 1053346825, Wabasha, MN); Tri-County Memorial Hospital Inc (NPI 1013748060, Mondovi, WI); Memorial Medical Center Inc (NPI 1437179231, Ashland, WI); Prairie Du Chien Memorial Hospital Association Inc (NPI 1295883247, Prairie Du Chien, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184126310) · Data from the CMS NPPES public registry.