MR. CARL W LANGE IV PA
NPI 1700200458
Physician Assistant in Houston, MO
About Mr. Carl W Lange Iv Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CARL W LANGE IV PA (NPI 1700200458) is an individual physician assistant in Houston, Missouri, licensed in Missouri (2014004500) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Mr. Carl W Lange Iv Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65483 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HOUSTON, MO 65483
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 Carl Lange's NPI number?
The NPI number for Carl Lange is 1700200458. It was assigned to this individual provider in the NPPES registry on February 14, 2014. The provider is also known as Mr. Chip Lange PA.
Where is Carl Lange located?
Carl Lange practices at 1337 S Sam Houston Blvd, Houston, MO 65483. The listed phone number is (417) 967-5435.
What is Carl Lange's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carl Lange enrolled in Medicare?
Yes. Carl Lange is registered in the Medicare PECOS enrollment system.
What insurance does Carl Lange accept?
Health plans from Anthem Blue Cross and Blue Shield list Carl 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 Carl Lange was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Carl W Lange IV, PA · NPI 1700200458
Physician Assistant physician in Houston, Missouri. Individual provider, active in the CMS NPPES registry since February 14, 2014.
## Identity
- **NPI:** 1700200458 (Entity type: Individual)
- **Enumerated:** February 14, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2014004500 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1337 S SAM HOUSTON BLVD, Houston, MO 65483-2046
- **Phone:** (417) 967-5435 · **Fax:** (417) 967-5503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 14, 2014
- **Other identifiers:** Medicaid 1700200458 (MO); Medicare OSCAR/certification 268535 (MO); Other 26D0889777 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1700200458) · Data from the CMS NPPES public registry.