Madison Lange

Individual provider Active NPI Nurse Practitioner · Cincinnati, OH

NPI 1750128591 · NPPES record last updated Jul 30, 2024

Key facts

NPI
1750128591
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN.CNP.0037173 (OH)
Practice address
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone
(513) 584-1000
Fax
(513) 475-7480
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLC (1,474 clinicians)

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital · Cincinnati, OH · CCN 360003

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240925002954 OH Practitioner - Nurse Practitioner 8325589708 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
258553TNMDInternal Medicine Physician
APRN.CNP.0037173OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Medical Center, LLC Nurse Practitioner Current Accepting new patients
University of Cincinnati Physicians Company, LLC Internal Medicine Current
since Sep 3, 2024
Accepting new patients

Locations

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700

200 Albert Sabin Way
Fl 3
Cincinnati, OH 45267
Phone (513) 475-7500

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

7675 Wellness Way
Ste 211
West Chester, OH 45069
Phone (513) 475-7561

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

7700 University Dr
Ste 3500
West Chester, OH 45069

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258553 TN
Nurse Practitioner 363L00000X APRN.CNP.0037173 OH Yes

Addresses

Primary practice location

3188 Bellevue Ave
Cincinnati, OH 45219-2369

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other practice location 1

1265 Union Ave
Memphis, TN 38104-3415
Phone (859) 801-2106

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2024.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1750128591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 BELLEVUE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192369",
            "telephone_number": "513-584-1000",
            "fax_number": "513-475-7480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043415",
            "country_code": "US",
            "telephone_number": "859-801-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "258553",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0037173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.