Amy Lange, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Kearney, Nebraska. Her current practice location is
417 E 35th St, Kearney, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(312) 508-9610.
Amy Lange is licensed to practice in Nebraska (license number 113011) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114478112.
Physician's Profile
Full Name | Amy Lange |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 417 E 35th St, Kearney, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114478112
- Provider Enumeration Date: 10/14/2016
- Last Update Date: 01/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395153597
- Enrollment ID: I20210427002031
Medical Identifiers
Medical identifiers for Amy Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114478112 | NPI | - | NPPES |
1114478112 | Other | | MILITARY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 57576 (Nebraska) | Secondary |
363LF0000X | Nurse Practitioner - Family | 113011 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Lange is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Lange, FNP 417 E 35th St, Kearney, NE 68847-3033 Ph: (312) 508-9610 | Amy Lange, FNP 417 E 35th St, Kearney, NE 68847-3033 Ph: (312) 508-9610 |
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