Active NPI
Jessica Leigh Lange, MD
- Otolaryngology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 50404
- Practice address
- 101 Prosperous PL Ste 150
Lexington, KY 40509-1868 - Phone
- (859) 629-7140
- Fax
- (859) 629-7137
- NPI assigned
- Jun 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 50404 | KY | Primary |
| Otolaryngology Physician | 207Y00000X | T-2561 | MS |
Addresses
Primary practice location
101 Prosperous PL Ste 150
Lexington, KY 40509-1868
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
279 Kings Daughters Dr Ste 202
Frankfort, KY 40601-6562
Phone (502) 226-6494
Other practice location 2
150 Mount Vernon Dr Ste 202
Georgetown, KY 40324-1526
Phone (502) 867-7806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100472170 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Louisville School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Eagle Creek Dr
Suite 102
Lexington, KY 40509-1827
Phone (859) 629-7140
279 Kings Daughters Dr
Suite 202
Frankfort, KY 40601-6562
Phone (502) 226-6494
Hospital & facility affiliations
- Saint Joseph East
- Baptist Health Lexington
- Saint Joseph Hospital
- Georgetown Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50404 | KY | MD | Otolaryngology Physician |
| T-2561 | MS | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Saint Joseph Health System Inc | Otolaryngology | Current | Accepting new patients |
| Saint Joseph Health System, Inc. | Current | Accepting new patients | |
| Ear Nose and Throat Specialists PLLC | Otolaryngology | Current | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
279 Kings Daughters Dr
Ste 202
Frankfort, KY 40601
Phone (502) 226-6494
1140 Lexington Rd
Ste 102
Georgetown, KY 40324
Phone (502) 867-7806
120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (606) 877-4579
101 Prosperous Pl
Ste 150
Lexington, KY 40509
Phone (865) 862-4557
1025 Saint Joseph Ln
London, KY 40741
Phone (606) 330-2370
Interoperability endpoints
- jlange287862@direct.stlukeshealth.org
- jessicalange@kysjhspe.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Georgetown, KY
- NPI 1154331387
-
- Otolaryngology Physician
- London, KY
- NPI 1134553902
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1285301234
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1760746150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROSPEROUS PL STE 150",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091868",
"telephone_number": "859-629-7140",
"fax_number": "859-629-7137"
}
],
"practiceLocations": [
{
"address_1": "279 Kings Daughters Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406016562",
"country_code": "US",
"telephone_number": "502-226-6494",
"fax_number": "502-226-6493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Mount Vernon Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403241526",
"country_code": "US",
"telephone_number": "502-867-7806",
"fax_number": "502-867-7836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGE",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "50404",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MS",
"license": "T-2561",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100472170",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.