MARLIS LANGE (MD) – Emergency Medicine Physician, NPI 1164495669

MARLIS LANGE (MD) is a healthcare provider. based in Hastings, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036-105447 (IL). The NPI Number for MARLIS LANGE (MD) is 1164495669

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MARLIS LANGE (MD)
NPI
1164495669
Phone
(269) 948-3922
Address
1998 STAR SCHOOL RD
Enumeration Date
7 February 2006
Last Update Date
4 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173372000
Graduation Year
1985 (41 years ago)
PAC ID
6204807118
Group Practice PAC ID
2567802556
Professional Enrollment ID
I20040804000622
Address ID
IL618012334UR1400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for MARLIS LANGE (MD)

  • 1998, Star School Road, Hastings Township, Barry County, Michigan, 49058, United States

    HASTINGS, MI 490588784

    Phone: (269) 948-3922

    Mailing address matches the actual address.

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: 2014-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

3

Earliest due date

2023-11-30

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
I20040804000622IEmergency MedicineIL2023-11-30
I20041019000035IEmergency MedicineMITBD
I20140430001381IEmergency MedicineINTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99285Emergency department visit with high level of medical decision making275241$0
99284Emergency department visit with moderate level of medical decision making181166$0
99283Emergency department visit with low level of medical decision making1212$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49058)

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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: 2567802556View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineMI
Nurse PractitionerIL
Family Practice, Emergency MedicineIL
Emergency MedicineMD
Nurse PractitionerIL
Internal Medicine, Emergency MedicineIL

Reviews

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Frequently asked questions

What is MARLIS LANGE (MD)'s NPI number?
MARLIS LANGE (MD)'s NPI is 1164495669 — the number used across U.S. healthcare to identify this provider.
Is MARLIS LANGE (MD) still an active registrant?
MARLIS LANGE (MD) carries an active NPI according to the public dataset.
What expertise is attributed to MARLIS LANGE (MD)?
MARLIS LANGE (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MARLIS LANGE (MD)?
Directory geography for MARLIS LANGE (MD) centers on Hastings, Michigan.
When was this NPI issued?
Enumeration for MARLIS LANGE (MD) is noted as February 7, 2006 where the registry provides it.

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