Amanda C. Lange, PA-C
NPI 1295088821ActiveIndividual· Physician Assistant· Menomonie, WI
Physician Assistant (PA-C) in Menomonie, Wisconsin, licensed in WI and IL, with an NPI issued in October 2012. 110 Medicare patients in 2024, $9,900 paid; nearly all of their 77 Part D prescriptions were generic (91%).
Overview
| NPI | 1295088821 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 19, 2012 |
| Last updated in NPPES | Feb 6, 2026 |
| Certified by provider | Feb 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3709-23 | WI |
| Physician Assistant | 363A00000X | 085.004518 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 138 across 15 procedure codes |
| Paid by Medicare | $9,900 |
Part D prescriptions in 2024
| Prescriptions (claims) | 77 · 92 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $2,995 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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