DR. MARY PATRICIA LANGE (PHD, NP) – Primary Care Nurse Practitioner, NPI 1740394055

DR. MARY PATRICIA LANGE (PHD, NP) is a healthcare provider. based in Farmington hills, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PHD, NP. They hold a License No. 4704103457 (MI). The NPI Number for DR. MARY PATRICIA LANGE (PHD, NP) is 1740394055

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY PATRICIA LANGE (PHD, NP)
NPI
1740394055
Phone
(248) 478-6199
Address
29344 GLENCASTLE DR
Enumeration Date
17 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484770552
Graduation Year
2001 (25 years ago)
PAC ID
7618074139
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20070517000625
Address ID
MI483365965FA27900AVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for DR. MARY PATRICIA LANGE (PHD, NP)

  • 29344, Glencastle Drive, Lincolnshire, Farmington Hills, Oakland County, Michigan, 48336, United States

    FARMINGTON HILLS, MI 483361418

    Phone: (248) 478-6199

    Type: Mailing

  • 4601, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 48201

    Phone: (313) 576-3955

    Fax: (313) 576-1191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$146

General + Research + Ownership

Payments

2

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-05-17

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
I20070517000625INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes18057$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17456$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes11347$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes10757$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes10241$0
View full utilization report →

Insurance plans in this area (ZIP 48336)

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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: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
Pediatric MedicineMI

Reviews

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Frequently asked questions

Is there an official ID for DR. MARY PATRICIA LANGE (PHD, NP) in U.S. healthcare records?
The official identifier for DR. MARY PATRICIA LANGE (PHD, NP) is NPI 1740394055.
Would DR. MARY PATRICIA LANGE (PHD, NP) appear as active to a payer?
You can treat DR. MARY PATRICIA LANGE (PHD, NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. MARY PATRICIA LANGE (PHD, NP)?
DR. MARY PATRICIA LANGE (PHD, NP)'s specialty line reads Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DR. MARY PATRICIA LANGE (PHD, NP) associated with Farmington Hills?
Public fields place DR. MARY PATRICIA LANGE (PHD, NP) around Farmington Hills, Michigan. 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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