Individual provider Active NPI

Lindsey J Lange, ARNP, DNP

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1851760151
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A125987 Issued in IA
Practice address
2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone
(563) 421-5700
Fax
(563) 421-5709
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A125987 IA Primary

Addresses

Primary practice location

2140 53Rd Ave
Bettendorf, IA 52722-6279

Mailing address

PO Box 4028
Rock Island, IL 61204-4028
Phone (563) 355-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsey.lange@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151008001520 IA Practitioner - Nurse Practitioner 0749598944 Reassigns benefits to 1 organization
I20160714002625 IL Practitioner - Nurse Practitioner 0749598944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Oct 12, 2015 Accepting new patients
Genesis Health System CurrentSince Oct 12, 2015 Accepting new patients

Locations

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

619 5th St
Durant, IA 52747
Phone (563) 785-4487

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

Interoperability endpoints

  • Direct secure messaging: lindsey.lange@direct.genesishealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1851760151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4028",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612044028",
            "telephone_number": "563-355-9200",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226279",
            "telephone_number": "563-421-5700",
            "fax_number": "563-421-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "LINDSEY",
        "middle_name": "J",
        "credential": "ARNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A125987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsey.lange@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2140 53rd Ave",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527226279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.