HALIE R LANGE – Physician Assistant, NPI 1306548094
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for HALIE R LANGE
175 Cambridge St Fl 4
Boston, MA 021142743
Phone: (617) 726-7500
Type: Location
55 Fruit St
Boston, MA 021142621
Phone: (617) 724-7009
Type: Location
175 CAMBRIDGE ST FL 4
BOSTON, MA 021142743
Phone:
Type: Mailing
1 MEDICAL CENTER DR
LEBANON, NH 037561000
Phone: (603) 650-5000
Fax: (603) 640-1228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240614001411 | I | Physician Assistant | MA | TBD |
| I20260302002037 | I | Physician Assistant | NH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MA |
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