Individual provider Active NPI

Wendy Lang, FNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1336176643
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
078041312N1 Issued in OR
Practice address
1525 Echo Hollow Road
Suite a
Eugene, OR 97404-1205
Phone
(541) 554-8021
Fax
(541) 607-1429
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 078041312N1 OR Primary

Addresses

Primary practice location

1525 Echo Hollow Road
Suite a
Eugene, OR 97404-1205

Mailing address

1525 Echo Hollow Rd
Suite a
Eugene, OR 97402-5801
Phone (541) 554-8021

Other identifiers 1

IdentifierTypeStateIssuer
292133MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
078041312N1ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bandon Community Health Center Current Accepting new patients
Sanders Family Medicine, LLC PastSince Jun 30, 2024 Accepting new patients
The Lakeside Clinic Past Accepting new patients
Bethel Health Center Past Accepting new patients

Locations

1010 1st St SE
Ste 110
Bandon, OR 97411
Phone 5413472529119

Interoperability endpoints

  • Direct secure messaging: wlang190432@direct.peacehealth.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1336176643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ECHO HOLLOW RD",
            "address_2": "SUITE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025801",
            "telephone_number": "541-554-8021",
            "fax_number": "541-607-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ECHO HOLLOW ROAD",
            "address_2": "SUITE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041205",
            "telephone_number": "541-554-8021",
            "fax_number": "541-607-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "WENDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "078041312N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292133",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.