Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELSIE MOINZADEH LANGE
NPI 1508773292
Nurse Practitioner - Family in Clifton Park, NY

Active since August 26, 2026
939 ROUTE 146 STE 700, CLIFTON PARK, NY 12065(518) 383-0891 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelsie Moinzadeh Lange NPPES

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

KELSIE MOINZADEH LANGE (NPI 1508773292) is an individual family provider in Clifton Park, New York, licensed in New York (F359241-01) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1508773292
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSIE MOINZADEH LANGE
Location Address939 ROUTE 146 STE 700Clifton Park, NY 12065-3662
Mailing Address80 Cypress StBallston Lake, NY 12019-1751
Sole ProprietorYes
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
NPI 1508773292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F359241-01
939 ROUTE 146 STE 700, Clifton Park, NY 12065

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Family Medicine
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Family Medicine
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Nurse Practitioner
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Physician Assistant
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Family Medicine
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Family Medicine
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065
Nurse Practitioner (Family)
939 ROUTE 146 STE 700
CLIFTON PARK, NY 12065

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 Kelsie Lange's NPI number?

The NPI number for Kelsie Lange is 1508773292. It was assigned to this individual provider in the NPPES registry on August 26, 2026.

Where is Kelsie Lange located?

Kelsie Lange practices at 939 Route 146 Ste 700, Clifton Park, NY 12065. The listed phone number is (518) 383-0891.

What is Kelsie Lange's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelsie Lange was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.