Individual provider Active NPI

Ryan William Lange, PA-C

  • Medical Physician Assistant
  • Madison, WI
National Provider Identifier
1679902084
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4341-23 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-2228
Phone
(608) 262-2398
NPI assigned
Nov 6, 2013
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.004906 IL
Medical Physician Assistant 363AM0700X 4341-23 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-2228

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rlange945981@direct.uwhealth.org
Direct Messaging Address rlange945981@direct.uwhealth.or

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20131205000202 IL Practitioner - Physician Assistant 4486881075 Reassigns benefits to 1 organization
I20180730003325 WI Practitioner - Physician Assistant 4486881075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, shared by 9 NPIs, 122 clinicians

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 287-2770

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

251 2ND St
Reedsburg, WI 53959-1610
Phone (608) 524-4334

2651 Windsor St
Sun Prairie, WI 53590-9825
Phone (608) 837-2206

2977 County Hwy CX
Portage, WI 53901-9271
Phone (608) 287-2770

3209 Dryden Dr
Madison, WI 53704-3015
Phone (608) 287-2770

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741

436 Sunrise Dr
Spring Green, WI 53588-9286
Phone (608) 588-2502

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6400

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone (608) 914-0100

500 Midland CT
Janesville, WI 53546-2341
Phone (608) 916-2600

5618 Odana Rd
Madison, WI 53719-1208
Phone (608) 274-1100

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

600 N 8TH St
Mount Horeb, WI 53572-1870
Phone (608) 287-2770

705 S University Ave
Suite 200
Beaver Dam, WI 53916-3079
Phone (920) 887-9272

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.004906ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Dec 9, 2013 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 6, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 6, 2018 Accepting new patients
Access Community Health Network CurrentSince Dec 9, 2013 Accepting new patients

Locations

245 S Gary Ave
Ste 200
Bloomingdale, IL 60108
Phone (630) 893-5230

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

Interoperability endpoints

  • Direct secure messaging: scolon1215917@direct.uwhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1679902084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922228",
            "telephone_number": "608-262-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004906",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "4341-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlange945981@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537922228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlange945981@direct.uwhealth.or",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537922228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.