Individual provider Active NPI

Jessica Leigh Lange, MD

  • Otolaryngology Physician
  • Lexington, KY
National Provider Identifier
1760746150
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
50404 Issued in KY
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

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100472170MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725000819 KY Practitioner - Otolaryngology 1052635661 Reassigns benefits to 2 organizations

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
Ear Nose and Throat Specialists PLLCGroup PAC ID 0941222053, 6 clinicians

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 Hospital, Lexington, KY, CCN 180143
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50404KYMDOtolaryngology Physician
T-2561MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates PSC Current Accepting new patients
Saint Joseph Health System Inc Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients
Saint Joseph Health System, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Ear Nose and Throat Specialists PLLC Otolaryngology CurrentSince Jul 1, 2017 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

  • Direct secure messaging: jlange287862@direct.stlukeshealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.