JORDAN LANDON LANGE AGACNP-BC
NPI 1881451235
Nurse Practitioner - Acute Care in Saint Louis, MO
About Jordan Landon Lange Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN LANDON LANGE AGACNP-BC (NPI 1881451235) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2024008286) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Springfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Landon Lange Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Lange reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beachwood, OH 44122
- Reassigned Medicare billing, Missouri enrollment
- 5 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cox Medical Centers
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63102
SAINT LOUIS, MO 63102
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 Jordan Lange's NPI number?
The NPI number for Jordan Lange is 1881451235. It was assigned to this individual provider in the NPPES registry on March 4, 2024.
Where is Jordan Lange located?
Jordan Lange practices at 100 S 4th St Ste 550, Saint Louis, MO 63102. The listed phone number is (866) 849-0692.
What is Jordan Lange's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jordan Lange enrolled in Medicare?
Yes. Jordan Lange is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Lange's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Lange reassigns Medicare benefits to Devoted Medical Group Inc (Beachwood, OH). The 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 Jordan Lange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jordan Lange affiliated with any hospitals?
According to CMS data, Jordan Lange is affiliated with Cox Medical Centers.
When was this NPI record last updated?
The NPPES record for Jordan Lange was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Jordan Landon Lange, AGACNP-BC · NPI 1881451235
Acute Care physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1881451235 (Entity type: Individual)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2024008286 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S 4TH ST STE 550, Saint Louis, MO 63102-1897
- **Phone:** (866) 849-0692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Devoted Medical Group Inc (NPI 1609474527, Beachwood, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1881451235) · Data from the CMS NPPES public registry.