Qiwei Wang, CNP
Individual provider Active NPI Nurse Practitioner · Saipan, MP
NPI 1215401377 · NPPES record last updated Oct 5, 2019
Key facts
- NPI
- 1215401377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP19002 (MP)
- Practice address
- Beach Road Garapan
Saipan, MP 96950 - Phone
- (670) 234-3926
- NPI assigned
- Jan 11, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Hospital Medicine Physicians LLC
Practice addresses (Care Compare)
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
Hospital & facility affiliations
- Trios Health
- Samaritan Hospital
- Lourdes Medical Center
- Good Shepherd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MP, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409001232 | MP | Practitioner - Nurse Practitioner | 7517393309 | Reassigns benefits to 1 organization |
| I20250306003388 | WA | Practitioner - Nurse Practitioner | 7517393309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019000941 | MO | MD | Nurse Practitioner |
| 2019038221 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Medicine Physicians LLC | Nurse Practitioner | Current |
Accepting new patients |
| Commonwealth Healthcare Corporation | Current |
Accepting new patients | |
| MMC & Pacific Labs, LLC | Current |
Accepting new patients | |
| Commonwealth Healthcare Corporation | Current |
Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| RCCH Trios Health LLC | Past | Accepting new patients |
Locations
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2019038221 | MO | |
| Nurse Practitioner | 363L00000X | 2019000941 | MO | |
| Nurse Practitioner | 363L00000X | NP19002 | MP | Yes |
Addresses
Primary practice location
Beach Road Garapan
Saipan, MP 96950
Mailing address
PO Box 10002 PMB 3113
Saipan, MP 96950
Phone (670) 285-7326
Other providers in Saipan, MP
- John M Tudela
- John Mark Ragutero Unciano
- Jesus Rapisura Valdez Jr.
- Paul Anthony Viator
- Kitione Balawa Vukunisiga
- Priyantha S Wijayagunaratne
- Jessica Delos Reyes Willsey
- Marc Llyod Wiltshire
- Joshua Wise
- Women'S Wellness Center, L.L.C.
All providers in Saipan, MP · Nurse Practitioner in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.