MRS. JENNIFER L LANGE APNP
NPI 1417400490
Nurse Practitioner in Edgerton, WI

Q: What is Jennifer Lange's NPI number?

The NPI number for Jennifer Lange is 1417400490. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Q: What is Jennifer Lange's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lange was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 26, 2016PECOS Enrolled

11051 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3354(608) 884-5022 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Jennifer L Lange Apnp NPPES

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

MRS. JENNIFER L LANGE APNP (NPI 1417400490) is an individual nurse practitioner in Edgerton, Wisconsin, licensed in Wisconsin (8411) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417400490

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JENNIFER L LANGECredential: APNP

Location Address11051 N SHERMAN RDEdgerton, WI 53534-9002

Mailing Address11051 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3354 · Fax (608) 884-5022

Phone(608) 884-3354

Fax(608) 884-5022

Sole ProprietorNo

Enumeration DateJuly 26, 2016

Last NPPES UpdateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1417400490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8411

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11051 N SHERMAN RD, Edgerton, WI 53534

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Other Identifiers 1

Medicaid1417400490WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Mrs. Jennifer L Lange Apnp 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 53534 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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 12

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

DEAN HEALTH SYSTEMS, INC.

Durable Medical Equipment & Medical Supplies