NPIMap

Individual provider Active NPI

Monica E E Lange, APRN

  • Family Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1740814144
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006304 Issued in FL
Practice address
9256 Birmingham Ave
Weeki Wachee, FL 34613-4424
Phone
(727) 510-9239
NPI assigned
Feb 25, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006304 FL Primary

Addresses

Primary practice location

9256 Birmingham Ave
Weeki Wachee, FL 34613-4424

Mailing address

630 Eunice Dr
Tarpon Springs, FL 34689-2415
Phone (727) 777-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326000710 FL Practitioner - Nurse Practitioner 0941639942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ariel HealthGroup PAC ID 7416341698, 3 clinicians

Practice addresses (Care Compare)

630 Eunice Dr
Tarpon Springs, FL 34689-2415
Phone (727) 808-5679

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006304FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Healthcare Associates, LLC CurrentSince Apr 10, 2022 Accepting new patients
Ariel Health Single Specialty CurrentSince Oct 24, 2021 Accepting new patients
Monarch Healthcare Associates Single Specialty Current Accepting new patients
Healthcare Made for You LLC Single Specialty CurrentSince Feb 21, 2022 Accepting new patients

Locations

1750 16th St S
Unit 35207
St Petersburg, FL 33705
Phone (813) 644-9372

Organizations & group practices 4

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740814144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 EUNICE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892415",
            "telephone_number": "727-777-3863",
            "fax_number": "727-916-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 BIRMINGHAM AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346134424",
            "telephone_number": "727-510-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MONICA E",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.