Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Kay Lange, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1386364164

Kimberly Kay Lange, FNP-BC is a Nurse Practitioner in Fenton, Michigan. Qualified in 2022, 4 years ago. Practices with Springfield Urgent Care PLLC, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

13342 White Lake Rd
Fenton, MI 48430-8401
Phone: (810) 278-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704224018 (MI)

Record details

NPI number1386364164
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Springfield Urgent Care Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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