Individual provider Active NPI

Jerry Weilong Huang, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1033917554
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229583 Issued in AZ
Practice address
4702 E Barbarita Ave
Gilbert, AZ 85234-4726
Phone
(520) 342-7538
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 229583 AZ Primary

Addresses

Primary practice location

4702 E Barbarita Ave
Gilbert, AZ 85234-4726

Mailing address

4702 E Barbarita Ave
Gilbert, AZ 85234-4726
Phone (520) 342-7538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324003504 AZ Practitioner - Nurse Practitioner 9739602327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brian S Page DO PLLCGroup PAC ID 4880787589, 18 clinicians

Practice addresses (Care Compare)

815 E Warner Rd
Suite 104
Chandler, AZ 85225-1057
Phone (623) 466-6350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
229583AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Feb 11, 2025 Accepting new patients
Brian S Page DO LLC Multi-Specialty CurrentSince Feb 11, 2025 Accepting new patients

Locations

815 E Warner Rd
Ste 104
Chandler, AZ 85225
Phone (480) 361-8725

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1033917554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 E BARBARITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344726",
            "telephone_number": "520-342-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 E BARBARITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344726",
            "telephone_number": "520-342-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JERRY",
        "middle_name": "WEILONG",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "229583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.