Kelly Elizabeth Lange, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61473911 Issued in WA

Practice address

3125 Old Fairhaven Pkwy Ste 106
Bellingham, WA 98225-8266

Phone

(360) 788-8388

Fax

(360) 788-8389

NPI assigned

Jun 23, 2010

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth Home Health of Whatcom County Home health agency, Bellingham, WA, CCN 507307
• Eden Home Health Home health agency, Bellingham, WA, CCN 507105
• Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
• Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klange626305@direct.peacehealth.org

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.

• Peacehealth

  dba PeaceHealth Medical Group

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1356309553
  Medicare reassignment Care Compare group NPD
• Peacehealth Medical Group - Sedro Woolley

  • Family Medicine Physician
  • Sedro Woolley, WA
  • NPI 1407283179
  Medicare reassignment Care Compare group NPD
• Rapid Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Mandeville, LA
  • NPI 1285970780
  Medicare reassignment NPD
• St Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  Medicare reassignment NPD
• Rapid Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1104272863
  NPD
• Rapid Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Albany, LA
  • NPI 1467085530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Empres Home Health of Bellingham, LLC

  dba Eden Home Health

  • Home Health Agency
  • Bellingham, WA
  • NPI 1316031230
  Care Compare affiliation
• Peacehealth

  dba PeaceHealth United General Medical Center

  • Critical Access Hospital
  • Sedro Woolley, WA
  • NPI 1144664954
  Care Compare affiliation
• Peacehealth

  dba St. Joseph Medical Center

  • Rural Acute Care Hospital
  • Bellingham, WA
  • NPI 1487904546
  Care Compare affiliation
• Peacehealth

  dba St Joseph Medical Center

  • General Acute Care Hospital
  • Bellingham, WA
  • NPI 1689677320
  Care Compare affiliation
• Peacehealth

  dba PeaceHealth Home Health of Whatcom County

  • Home Health Agency
  • Bellingham, WA
  • NPI 1710639901
  Care Compare affiliation
• St Joseph Hospital

  dba Northwest Regional Laboratory

  • Clinical Medical Laboratory
  • Bellingham, WA
  • NPI 1013137173

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1679884761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 OLD FAIRHAVEN PKWY STE 106",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258266",
            "telephone_number": "360-788-8388",
            "fax_number": "360-788-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 OLD FAIRHAVEN PKWY STE 106",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258266",
            "telephone_number": "360-788-8388",
            "fax_number": "360-788-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Hospital Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982849315",
            "country_code": "US",
            "telephone_number": "360-856-8830",
            "fax_number": "360-714-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN104462-AP06137",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61473911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "AP61473911",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP003393",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Cordero Lane, RN
• Joanna M Lane, CPC
• Linda L Lane, ARNP
• Robert Franklin Lane, PHARMD
• Molly Jean Langdon, LICENSED MASSAGE PRA
• Thomas J. Langei, MD
• Lisa Ann Lanham, DD, LD
• Kale Canyon Lantz
• Meredith Catharine Laplante, MAT
• Hunter Laporte, LMT

• Family Nurse Practitioner in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.