Individual provider Active NPI

Grace Hsuanhwa Wang, M.D.

  • Obstetrics & Gynecology Physician
  • Manchester, IA
National Provider Identifier
1043324247
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-45432 Issued in IA
Practice address
709 W. Main Street
Manchester, IA 52057-0359
Phone
(563) 927-7698
Fax
(563) 927-7469
NPI assigned
Aug 18, 2006
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036102794 IL
Obstetrics & Gynecology Physician 207V00000X MD-45432 IA Primary

Addresses

Primary practice location

709 W. Main Street
Manchester, IA 52057-0359

Mailing address

709 W. Main Street, P.O. Box 359
Manchester, IA 52057-0359
Phone (563) 927-7698

Other identifiers 1

IdentifierTypeStateIssuer
036102794MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address grace.wang@regmedctr.org Direct
Direct Messaging Address grace.wang@regmedctr.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150923002697 WY Practitioner - Obstetrics/Gynecology 7911897228 Reassigns benefits to 1 organization
I20180831000511 IA Practitioner - Obstetrics/Gynecology 7911897228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

709 W Main St
Manchester, IA 52057-1526

980 Field of Dreams Way
Dyersville, IA 52040-2521
Phone (563) 875-2147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-45432IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Mar 1, 2023 Accepting new patients
Delaware County Memorial Hospital CurrentSince Sep 21, 2018 Accepting new patients
Delaware County Memorial Hospital CurrentSince Sep 21, 2018 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Campbell County Hospital District CurrentSince Mar 1, 2023 Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

980 Field of Dreams Way
Dyersville, IA 52040
Phone (563) 875-2147

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

709 W Main St
#359
Manchester, IA 52057
Phone (563) 927-7457

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1043324247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W. MAIN STREET, P.O. BOX 359",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570359",
            "telephone_number": "563-927-7698",
            "fax_number": "563-927-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W. MAIN STREET",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570359",
            "telephone_number": "563-927-7698",
            "fax_number": "563-927-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GRACE",
        "middle_name": "HSUANHWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036102794",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-45432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102794",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.wang@regmedctr.org",
            "affiliation": "N",
            "endpointDescription": "Regional Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "709 W. Main Street",
            "city": "Manchester",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520570359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.wang@regmedctr.org",
            "affiliation": "N",
            "endpointDescription": "Regional Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "709 W. Main Street",
            "city": "Manchester",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520570359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.