MS. SHANNON LESLEY LANGE CPNP-PC, CNS
NPI 1225513591
Nurse Practitioner - Pediatrics in San Antonio, TX
About Ms. Shannon Lesley Lange Cpnp-pc, Cns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANNON LESLEY LANGE CPNP-PC, CNS (NPI 1225513591) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (1013771) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Shannon Lesley Lange Cpnp-pc, Cns is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT SAM HOUSTON, TX 78234
JBSA FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Shannon Lange's NPI number?
The NPI number for Shannon Lange is 1225513591. It was assigned to this individual provider in the NPPES registry on October 2, 2018.
Where is Shannon Lange located?
Shannon Lange practices at Brooke Army Medical Center 3551 Roger Brooke Drive, San Antonio, TX 78234. The listed phone number is (210) 916-3160.
What is Shannon Lange's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Shannon Lange enrolled in Medicare?
Yes. Shannon Lange is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Lange was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Ms. Shannon Lesley Lange, CPNP-PC, CNS · NPI 1225513591
Pediatrics physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since October 2, 2018.
## Identity
- **NPI:** 1225513591 (Entity type: Individual)
- **Enumerated:** October 2, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 1013771 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE, San Antonio, TX 78234-4504
- **Phone:** (210) 916-3160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1225513591) · Data from the CMS NPPES public registry.