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

Vanessa Lange, PA-C

Individual provider Medical Oncology Physician · NPI 1407307077

Vanessa Lange, PA-C is a Physician Assistant in Maple Grove, Minnesota. Graduated from Duke University School of Medicine in 2016, 10 years ago. Practices with Fairview Specialty Services, a 304-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Trained at
Duke University School of Medicine
Licensed in
MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

14500 99th Ave N Ste 100
Maple Grove, MN 55369-4738
Phone: (763) 898-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Harvard St Se Ste 7445, Minneapolis, MN 55455-0363 — (612) 273-0883

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12248 (MN)
Medical Oncology Physician Taxonomy 207RX0202X · Licence 12248 (MN)

Record details

NPI number1407307077
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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