Active NPI
Samantha Mary Gimelli Lange, FNP-C
- Pediatric Nurse Practitioner
- Aurora, CO
National Provider Identifier
1023781523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN.0996681-NP
- Practice address
- 1775 Aurora CT RM 2404
Aurora, CO 80045-2536 - Phone
- (303) 724-7514
- NPI assigned
- Jul 29, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.1628476 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0996681-NP | CO | |
| Pediatric Nurse Practitioner | 363LP0200X | APN.0996681-NP | CO | Primary |
Addresses
Primary practice location
1775 Aurora CT RM 2404
Aurora, CO 80045-2536
Mailing address
26229 E Maple Dr
Aurora, CO 80018-4671
Phone (720) 939-0605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1628476 | CO | MD | Registered Nurse |
| APN.0996681-NP | CO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Nurse Practitioner | Current | Accepting new patients |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Children'S Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Past | Accepting new patients |
Locations
1775 Aurora Ct
Rm 2404
Aurora, CO 80045
Phone (303) 724-7514
1775 Aurora Ct
Ste A140
Aurora, CO 80045
Phone (303) 724-2323
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
Interoperability endpoints
- slange92836@direct.childrenscolorado.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Nurse Practitioner
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- Clinical Social Worker
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- NPI 1174282776
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1942813613
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Clinical Medical Laboratory
- Aurora, CO
- NPI 1396793899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1023781523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26229 E MAPLE DR",
"city": "AURORA",
"state": "CO",
"postal_code": "800184671",
"telephone_number": "720-939-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 AURORA CT RM 2404",
"city": "AURORA",
"state": "CO",
"postal_code": "800452536",
"telephone_number": "303-724-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "SAMANTHA",
"middle_name": "MARY GIMELLI",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1628476",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0996681-NP",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "APN.0996681-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.