Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda C Lange, PA-C

Individual provider Physician Assistant · NPI 1295088821

Amanda C Lange, PA-C is a Physician Assistant in Menomonie, Wisconsin. Qualified in 2012, 14 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
14
Licensed in
IL, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2321 Stout Rd
Menomonie, WI 54751-7003
Phone: (715) 838-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1625 S State St, Belvidere, IL 61008-5907 — (414) 290-6720
  • 1401 E State St, Rockford, IL 61104-2315 — (414) 290-6720
  • 2661 County Highway I, Chippewa Falls, WI 54729-5407 — (414) 290-6720
  • 900 W Clairemont Ave, Eau Claire, WI 54701-6122 — (414) 290-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3709-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 085.004518 (IL)

Record details

NPI number1295088821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2012
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address200 1st St Sw, Suite 2000, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Menomonie