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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: August 09, 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
Phone(208) 302-5800
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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.

DR. BRADLEY GRANT BISHOP MD
Pediatrics
1072 N LIBERTY ST STE 203
BOISE, ID 83704
Ada County (208) 302-5800

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 Samantha Lange's NPI number?

The NPI number for Samantha Lange is 1346792033. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Samantha Lange located?

Samantha Lange practices at 1072 N Liberty St Ste 203, Boise, ID 83704. The listed phone number is (208) 302-5800.

What is Samantha Lange's specialty?

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

Is Samantha Lange enrolled in Medicare?

Yes. Samantha Lange is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Lange accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Samantha Lange 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.

When was this NPI record last updated?

The NPPES record for Samantha Lange was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.