ALYSSA LANGE CNP
NPI 1699488825
Nurse Practitioner - Primary Care in Minneapolis, MN

Q: What is Alyssa Lange's NPI number?

The NPI number for Alyssa Lange is 1699488825. It was assigned to this individual provider in the NPPES registry on January 3, 2023. The provider is also known as Alyssa Boyum Rn.

Q: What is Alyssa Lange's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Lange was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 03, 2023PECOS Enrolled

1015 4TH AVE N STE 206, MINNEAPOLIS, MN 55405(612) 238-0034 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Mar 6, 2023, Jan 3, 2023 (3 updates tracked since 2023).

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About Alyssa Lange Cnp NPPES

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

ALYSSA LANGE CNP (NPI 1699488825) is an individual primary care provider in Minneapolis, Minnesota, licensed in Minnesota (AG02230034) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699488825

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameALYSSA LANGECredential: CNP

Location Address1015 4TH AVE N STE 206Minneapolis, MN 55405-1178

Mailing Address1015 4th Ave N Ste 206Minneapolis, MN 55405-1178 · (612) 238-0034

Phone(612) 238-0034

Sole ProprietorNo

Enumeration DateJanuary 3, 2023

Last NPPES UpdateApril 30, 20243 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1699488825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MN · AG02230034

1015 4TH AVE N STE 206, Minneapolis, MN 55405

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Other Names 1

Former Name (1)Alyssa Boyum Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Lange Cnp 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 55405 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 2

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

AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC

Internal Medicine (Hospice and Palliative Medicine)

1015 4TH AVE N STE 206
MINNEAPOLIS, MN 55405

Hennepin County (952) 855-5041

AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC

Hospice Care, Community Based

1015 4TH AVE N STE 206
MINNEAPOLIS, MN 55405

Hennepin County (612) 238-5284

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 Alyssa Lange's NPI number?

The NPI number for Alyssa Lange is 1699488825. It was assigned to this individual provider in the NPPES registry on January 3, 2023. The provider is also known as Alyssa Boyum Rn.

Where is Alyssa Lange located?

Alyssa Lange practices at 1015 4th Ave N Ste 206, Minneapolis, MN 55405. The listed phone number is (612) 238-0034.

What is Alyssa Lange's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Alyssa Lange enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alyssa Lange was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.