DR. MARY PATRICIA LANGE PHD, NP
NPI 1740394055
Nurse Practitioner - Primary Care in Detroit, MI
About Dr. Mary Patricia Lange Phd, Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY PATRICIA LANGE PHD, NP (NPI 1740394055) is an individual primary care provider in Detroit, Michigan, licensed in Michigan (4704103457) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mary Patricia Lange Phd, Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Lange reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Michigan Healthcare Professionals PC
- 741 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Mary Lange's NPI number?
The NPI number for Mary Lange is 1740394055. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Mary Patricia Morris.
Where is Mary Lange located?
Mary Lange practices at 4601 John R, Detroit, MI 48201. The listed phone number is (313) 576-3955.
What is Mary Lange's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Mary Lange enrolled in Medicare?
Yes. Mary Lange is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Lange's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lange reassigns Medicare benefits to 2 organizations: Executive Health PC (Dearborn, MI) and Michigan Healthcare Professionals, P.C. (Dearborn, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Lange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Lange accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mary 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 Mary Lange was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Mary Patricia Lange, PHD, NP · NPI 1740394055
Primary Care physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1740394055 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704103457 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 JOHN R, Detroit, MI 48201
- **Phone:** (313) 576-3955 · **Fax:** (313) 576-1191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Executive Health PC (NPI 1528445632, Dearborn, MI); Michigan Healthcare Professionals, P.C. (NPI 1316757446, Dearborn, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1740394055) · Data from the CMS NPPES public registry.