Active NPI
Amy S Lange, CNM
- Advanced Practice Midwife
- Minneapolis, MN
National Provider Identifier
1528038106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R1113365
- Practice address
- 1200 Lagoon Ave
Minneapolis, MN 55408-2077 - Phone
- (612) 823-6300
- NPI assigned
- Jan 25, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R1113365 | MN | Primary |
Addresses
Primary practice location
1200 Lagoon Ave
Minneapolis, MN 55408-2077
Mailing address
4043 Colfax Ave S
Minneapolis, MN 55409-1425
Phone (612) 822-8136
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-00775 | Other | MEDICA | |
| 1019218 | Other | PREFERRED ONE | |
| 930063 | Other | AMERICA'S PPO (ARAZ) | |
| HP22762 | Other | HEALTH PARTNERS | |
| 37B63LA | Other | MN | BCBS MN |
| 109104 | Other | UCARE | |
| 32427 | Other | SIOUX VALLEY HEALTH PLAN |
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1113365 | MN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528038106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4043 COLFAX AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091425",
"telephone_number": "612-822-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LAGOON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082077",
"telephone_number": "612-823-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "AMY",
"middle_name": "S",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "R1113365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "07-00775",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1019218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO (ARAZ)",
"identifier": "930063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP22762",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "37B63LA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "109104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "32427",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.