Active NPI
Wendy Lang, FNP
- Family Nurse Practitioner
- Eugene, OR
National Provider Identifier
1336176643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 078041312N1
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292133 | Medicaid | OR |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078041312N1 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bandon Community Health Center | Current | Accepting new patients | |
| Sanders Family Medicine, LLC | Past | 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
- 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.
-
- Primary Care Clinic/Center
- Bandon, OR
- NPI 1033348289
-
- Student Health Clinic/Center
- Eugene, OR
- NPI 1447535547
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447095237
-
- Rural Health Clinic/Center
- Dexter, OR
- NPI 1710923651
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.