Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allyson Lange, PA

Individual provider Physician Assistant · NPI 1114885928

Allyson Lange, PA is a Physician Assistant in Wyoming, Michigan. Qualified in 2025, 1 year ago. Works from 2 locations.

Years since qualifying
1
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9650
Phone: (616) 252-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 — (616) 252-7200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114885928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address5900 Byron Center Ave Sw, Wyoming, MI 49519-9606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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