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

Kelly Elizabeth Lange, NP-C

Individual provider Family Nurse Practitioner · NPI 1679884761

Kelly Elizabeth Lange, NP-C is a Nurse Practitioner in Bellingham, Washington. Qualified in 2010, 16 years ago. Practices with Peacehealth Medical Group - Sedro Woolley, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana and Washington.

Years since qualifying
16
Licensed in
LA, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3125 Old Fairhaven Pkwy Ste 106
Bellingham, WA 98225-8266
Phone: (360) 788-8388
Fax: (360) 788-8389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1990 Hospital Dr Ste 110, Sedro Woolley, WA 98284-9315 — (360) 856-8830

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61473911 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN104462-AP06137 (LA)

Record details

NPI number1679884761
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Peacehealth Medical Group - Sedro Woolley — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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