Susan Elaine Lange, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R135100 Issued in MD

Practice address

1126 Opal CT
Hagerstown, MD 21740-5940

Phone

(240) 420-2666

Fax

(240) 420-0951

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1811092364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "240-420-2666",
            "fax_number": "240-420-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "240-420-2666",
            "fax_number": "240-420-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R135100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002978500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chunwei Walter Lai, M.D., PH.D.
• Ellyse Lopez Lamont, FNP-C
• Terri Lancaster, M.A.
• Amy B Landis, CAC-A/D
• Michele Landry, DPT
• Mark R Lannon, LCSW-C
• Kendall Lantz
• Thomas M Larkin, M.D.
• Christopher Larrimore, DO
• Cassondra Marie Larsen, CNM

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.