Jordan Landon Lange, AGACNP-BC - Medicare Nurse Practitioner in Saint Louis, MO

Jordan Landon Lange, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Louis, Missouri. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 100 S 4th St Ste 550, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (866) 849-0692.

Jordan Landon Lange is licensed to practice in Missouri (license number 2024008286) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881451235.

Contact Information

Jordan Landon Lange, AGACNP-BC
100 S 4th St Ste 550,
Saint Louis, MO 63102-1897
(866) 849-0692
Not Available

Map and Direction




Provider's Profile

Full NameJordan Landon Lange
GenderMale
SpecialityNurse Practitioner
Experience2 Years
Location100 S 4th St Ste 550, Saint Louis, Missouri
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Landon Lange graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1881451235
  • Provider Enumeration Date: 03/04/2024
  • Last Update Date: 06/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436597267
  • Enrollment ID: I20240329000866

Medical Identifiers

Medical identifiers for Jordan Landon Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881451235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 2024008286 (Missouri)Primary
363LA2100XNurse Practitioner - Acute Care 235430 (Arkansas)Secondary
363LA2100XNurse Practitioner - Acute Care 3-002934 (Alabama)Secondary
363LA2100XNurse Practitioner - Acute Care 71018111A (Indiana)Secondary
363LA2100XNurse Practitioner - Acute Care H190105 (Iowa)Secondary
363LA2100XNurse Practitioner - Acute Care APRN-5820-0 (Hawaii)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cox Medical CentersSpringfield, MOHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Landon Lange allows following entities to bill medicare on his behalf.
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760405864
PECOS PAC ID: 8628092897
Enrollment ID: O20060116000342

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Landon Lange is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Landon Lange, AGACNP-BC
Po Box 505673,
Saint Louis, MO 63150-5673

Ph: (417) 730-6430
Jordan Landon Lange, AGACNP-BC
100 S 4th St Ste 550,
Saint Louis, MO 63102-1897

Ph: (866) 849-0692

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.