Active NPI
Kelsey Lynn Lange, NP
- Family Nurse Practitioner
- Clinton, IA
National Provider Identifier
1427764661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A172884
- Practice address
- 246 5TH Ave S
Clinton, IA 52732-4354 - Phone
- (563) 278-7766
- Fax
- (563) 519-6495
- NPI assigned
- Jan 30, 2023
- Last updated
- Oct 4, 2025
- 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 | A172884 | IA | Primary |
Addresses
Primary practice location
246 5TH Ave S
Clinton, IA 52732-4354
Mailing address
1147 281St Ave
Delmar, IA 52037-9189
Phone (563) 219-5528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A172884 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genuine Healthcare PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AFC Urgent Care Davenport IA
- Urgent Care Clinic/Center
- Davenport, IA
- NPI 1013633536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759536000000",
"number": "1427764661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 281ST AVE",
"city": "DELMAR",
"state": "IA",
"postal_code": "520379189",
"telephone_number": "563-219-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 5TH AVE S",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324354",
"telephone_number": "563-278-7766",
"fax_number": "563-519-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "KELSEY",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2025-10-04",
"certification_date": "2025-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A172884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.