Individual provider Active NPI

Qingzhi Wu, NP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1144982935
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95018255 Issued in CA
Practice address
1601 Petersen Ave
San Jose, CA 95129-4844
Phone
(408) 605-6964
NPI assigned
Oct 8, 2021
Last updated
Feb 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP95018255 CA
Family Nurse Practitioner 363LF0000X NP95018255 CA Primary

Addresses

Primary practice location

1601 Petersen Ave
San Jose, CA 95129-4844

Mailing address

19930 Wright Dr
Los Gatos, CA 95033-8842
Phone (408) 605-6964

Other practice location 1

19930 Wright Dr
Los Gatos, CA 95033-8842
Phone (408) 605-6964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220316002614 CA Practitioner - Nurse Practitioner 1254726987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Solution IncGroup PAC ID 3476969031, 12 clinicians

Practice addresses (Care Compare)

1601 Petersen Ave
San Jose, CA 95129-4844
Phone (832) 618-8479

Merit-based Incentive Payment System (MIPS)

Final score
17.54 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95018255CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QW Dependable Care Nursing PC CurrentSince Oct 10, 2021 Accepting new patients
Quality Care Solution Inc. CurrentSince Mar 1, 2022 Accepting new patients
QW Dependable Care Nursing PC CurrentSince Oct 10, 2021 Accepting new patients
Agile Occupational Medicine, PC PastSince Oct 9, 2022 Accepting new patients

Locations

1355 Clayton Rd
San Jose, CA 95127
Phone (408) 251-3070

1601 Petersen Ave
San Jose, CA 95129
Phone (408) 253-7502

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1144982935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19930 WRIGHT DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338842",
            "telephone_number": "408-605-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PETERSEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294844",
            "telephone_number": "408-605-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19930 Wright Dr",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950338842",
            "country_code": "US",
            "telephone_number": "408-605-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "QINGZHI",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95018255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95018255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.