Individual provider Active NPI

Rachel Paige Lange, CPNP-AC

  • Pediatric Nurse Practitioner
  • Easton, MD
National Provider Identifier
1780370676
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AC005276 Issued in MD
Practice address
522 Cynwood Dr
Easton, MD 21601-3876
Phone
(410) 770-8910
Fax
(833) 908-2284
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AC005276 MD Primary

Addresses

Primary practice location

522 Cynwood Dr
Easton, MD 21601-3876

Mailing address

522 Cynwood Dr
Easton, MD 21601-3876
Phone (410) 770-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230912004390 MD Practitioner - Nurse Practitioner 2264896067 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Feb 3, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Choptank Community Health System Inc CurrentSince Feb 3, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Choptank Community Health System Inc Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

713 Cambridge Marketplace Blvd
Ste 2500
Cambridge, MD 21613
Phone (410) 228-6161

715 Cambridge Marketplace Blvd
Ste 2500
Cambridge, MD 21613

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

522 Cynwood Dr
Easton, MD 21601
Phone (410) 770-8910

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: rachel.lange.1@20853.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1780370676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013876",
            "telephone_number": "410-770-8910",
            "fax_number": "833-908-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013876",
            "telephone_number": "410-770-8910",
            "fax_number": "833-908-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "RACHEL",
        "middle_name": "PAIGE",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC005276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.