Jordan Landon Lange, AGACNP-BC in Springfield, MO

Jordan Landon Lange, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Springfield, Missouri. His current practice location is 3801 S National Ave Ste 1122, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 269-7728.

Jordan Landon Lange is licensed to practice in Missouri (license number 2024008286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881451235.

Contact Information

	Jordan Landon Lange, AGACNP-BC
	3801 S National Ave Ste 1122, Springfield, MO 65807-6090
	(417) 269-7728
	(417) 269-7729

Map and Direction

Provider's Profile

Full Name	Jordan Landon Lange
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	3801 S National Ave Ste 1122, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881451235
Provider Enumeration Date: 03/04/2024
Last Update Date: 05/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9436597267
Enrollment ID: I20240329000866

Medical Identifiers

Medical identifiers for Jordan Landon Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881451235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2024008286 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Landon Lange allows following entities to bill medicare on his behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902969272 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000622

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. Jordan Landon 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
Jordan Landon Lange, AGACNP-BC Po Box 505673, Saint Louis, MO 63150-5673 Ph: (417) 730-6430	Jordan Landon Lange, AGACNP-BC 3801 S National Ave Ste 1122, Springfield, MO 65807-6090 Ph: (417) 269-7728

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Jordan Landon Lange, AGACNP-BC - Medicare Nurse Practitioner in Springfield, MO