Active NPI
Tyler Lange, NURSE PRACTITIONER
- Family Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0029384
- Practice address
- 3436 Granite Cir
Toledo, OH 43617-1160 - Phone
- (419) 887-8710
- NPI assigned
- Sep 15, 2021
- Sex
- Male
- 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 | APRN.CNP.0029384 | OH | Primary |
Addresses
Primary practice location
3436 Granite Cir
Toledo, OH 43617-1160
Mailing address
3436 Granite Cir
Toledo, OH 43617-1160
Phone (419) 887-8710
Other practice location 1
5901 Monclova Rd
Maumee, OH 43537-1841
Phone (419) 893-5911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Toledo College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335
1075 Medical Ctr Pkwy
Maumee, OH 43537
Phone (567) 585-0800
5308 Harroun Rd
Suite 160
Sylvania, OH 43560-2174
Phone (419) 824-5668
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400
Hospital & facility affiliations
- Promedica Toledo Hospital
- Promedica Monroe Regional Hospital
- Bay Park Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.25 of 100
- Quality
- 96.55
- Improvement activities
- 40
- Cost
- 89.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Observation Physicians of Northwest Ohio LLC | Current | Accepting new patients | |
| Emergency Physicians of Northwest Ohio Inc. | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911
5705 Monclova Rd
Maumee, OH 43537
Phone (419) 893-3321
1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800
5308 Harroun Rd
Ste 160
Sylvania, OH 43560
Phone (419) 824-5668
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
3436 Granite Cir
Toledo, OH 43617
Phone (419) 291-0101
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
MI
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Emergency Medicine Physician
- Maumee, OH
- NPI 1356015564
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1407526197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 GRANITE CIR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171160",
"telephone_number": "419-887-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 GRANITE CIR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171160",
"telephone_number": "419-887-8710"
}
],
"practiceLocations": [
{
"address_1": "5901 Monclova Rd",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435371841",
"country_code": "US",
"telephone_number": "419-893-5911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGE",
"first_name": "TYLER",
"name_prefix": "Mr.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0029384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.