Individual provider Active NPI

Baijie Wang, ARNP

  • Family Nurse Practitioner
  • Sammamish, WA
National Provider Identifier
1164952628
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60757133 Issued in WA
Practice address
3066 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253
Phone
(425) 391-1582
Fax
(425) 427-0109
NPI assigned
Jun 18, 2017
Last updated
Jun 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60757133 WA Primary

Addresses

Primary practice location

3066 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253

Mailing address

9 Greenway PLZ Ste 2950
Houston, TX 77046-0924
Phone (713) 335-1733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170725000206 WA Practitioner - Nurse Practitioner 9638449614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHC Fairfax Hospital IncGroup PAC ID 1153231857, 32 clinicians

Practice addresses (Care Compare)

10200 NE 132ND St
Kirkland, WA 98034-2831
Phone (425) 821-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60757133WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Feb 1, 2021 Accepting new patients
Multicare Health System CurrentSince Feb 1, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
BHC Fairfax Hospital Inc. CurrentSince Apr 3, 2023 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1164952628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ STE 2950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460924",
            "telephone_number": "713-335-1733",
            "fax_number": "713-491-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 ISSAQUAH PINE LAKE RD SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-391-1582",
            "fax_number": "425-427-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "BAIJIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60757133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

Verify at the official NPI Registry.