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

Individual provider Physician Assistant · NPI 1144892910

Mrs. Katelyn Nicole Lange, PA-C is a Physician Assistant in Troy, Michigan. Qualified in 2020, 6 years ago. Practices with Ann E. Hern, MD, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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

215 E Big Beaver Ste 200
Troy, MI 48083
Phone: (248) 362-3500
Fax: (248) 362-1941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601010371 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601010371 (MI)

Record details

NPI number1144892910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ann E. Hern, M.D., P.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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