Active NPI
Camille E Lang, M.D.
- Family Medicine Physician
- Crosby, MN
National Provider Identifier
1013165851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21025
- Practice address
- 320 E Main St
Central Lakes Medical Clinic, PA
Crosby, MN 56441-1645 - Phone
- (218) 546-7000
- Fax
- (218) 545-4456
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21025 | MN | Primary |
Addresses
Primary practice location
320 E Main St
Central Lakes Medical Clinic, PA
Crosby, MN 56441-1645
Mailing address
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clang93433@excellian.direct.allina.com | Direct | |
| Direct Messaging Address | clan93433@excellian.direct.allina.com | Direct | Cuyuna Regional Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21025 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Family Medicine | Current | Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
Interoperability endpoints
- clang93433@excellian.direct.allina.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Longville Lakes Clinic
- Family Medicine Physician
- Longville, MN
- NPI 1861414518
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverwood Healthcare Center
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
-
dba Aveanna Home Health
- Home Health Agency
- Grand Rapids, MN
- NPI 1346272945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1013165851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E MAIN ST",
"city": "CROSBY",
"state": "MN",
"postal_code": "564411645",
"telephone_number": "218-546-7000",
"fax_number": "218-545-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E MAIN ST",
"address_2": "CENTRAL LAKES MEDICAL CLINIC, PA",
"city": "CROSBY",
"state": "MN",
"postal_code": "564411645",
"telephone_number": "218-546-7000",
"fax_number": "218-545-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "CAMILLE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "21025",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clang93433@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDA/PDF/TXT",
"address_1": "320 E Main St",
"city": "Crosby",
"state": "MN",
"country_code": "US",
"postal_code": "564411645",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clan93433@excellian.direct.allina.com",
"affiliation": "Y",
"affiliationName": "Cuyuna Regional Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clan93433@excellian.direct.allina.com",
"address_1": "320 E Main St",
"city": "Crosby",
"state": "MN",
"country_code": "US",
"postal_code": "564411645",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Crosby, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.