MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) – Adult Health Clinical Nurse Specialist, NPI 1285045013

MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) is a healthcare provider. based in Peoria, Illinois. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials ADVANCED PRACTICENUR. They hold a License No. 209011332 (IL). The NPI Number for MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) is 1285045013

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR)
NPI
1285045013
Phone
(309) 655-2000
Address
530 NE GLEN OAK AVE
Enumeration Date
14 May 2014
Last Update Date
14 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096552000
Graduation Year
2012 (14 years ago)
PAC ID
1658697339
Group Practice PAC ID
9032021258
Professional Enrollment ID
I20150225000690
Address ID
IL616370001PE530XXAVEX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

137 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IL

Provider Addresses for MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR)

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-2000

    Type: Location

  • 104 BARBARA ST

    EAST PEORIA, IL 616114591

    Phone: (309) 258-1783

    Fax: (309) 282-1609

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Novo Nordisk Inc ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150225000690ICertified Clinical Nurse Specialist (Cns)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes140105$0
99213Established patient office or other outpatient visit, 20-29 minutes7840$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032021258View full group profile

Reviews

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Frequently asked questions

Can I cross-check MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) using NPI 1285045013?
NPI 1285045013 belongs to MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR); compare other details if you need extra assurance.
Active or inactive — what applies to MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR)?
You should see MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) as active in CMS-hosted NPPES data.
What clinical focus is listed for MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR)?
At a glance, MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) is tied to Adult Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Is MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) associated with Peoria?
Public fields place MISS MELINDA LUCILLE LANGE (ADVANCED PRACTICENUR) around Peoria, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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