SAMANTHA RAE LANGE PA-C
NPI 1346792033
Physician Assistant in Boise, ID

Active since October 27, 2016PECOS Enrolled
1072 N LIBERTY ST STE 203, BOISE, ID 83704(208) 302-5800(208) 302-5855 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2019, Oct 27, 2016 (2 updates tracked since 2016).

About Samantha Rae Lange Pa-c NPPES

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

SAMANTHA RAE LANGE PA-C (NPI 1346792033) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1432) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346792033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA RAE LANGECredential: PA-C
Location Address1072 N LIBERTY ST STE 203Boise, ID 83704
Mailing Address2115 Enell StIdaho Falls, ID 83402-2911 · (208) 302-5800 · Fax (208) 302-5855
Fax(208) 302-5855
Sole ProprietorNo
Enumeration DateOctober 27, 2016
Last NPPES UpdateJune 10, 20192 updates tracked since enumeration
NPI 1346792033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-1432
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.

1072 N LIBERTY ST STE 203, Boise, ID 83704

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Rae Lange Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

Pediatrics
1072 N LIBERTY ST STE 203
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346792033, enumerated as an "individual" on October 27, 2016.

The provider is located at 1072 N LIBERTY ST STE 203 BOISE, ID 83704 and the phone number is (208) 302-5800.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.