Yun-Wei Chang
Individual provider Active NPI Acute Care Nurse Practitioner · Milton, FL
NPI 1255708459 · NPPES record last updated Aug 24, 2015
Key facts
- NPI
- 1255708459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 9291320 (FL)
- Practice address
- 6341 Highway 90
Milton, FL 32570-4503 - Phone
- (850) 981-0320
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20151116000388 | FL | Practitioner - Nurse Practitioner | 3779893144 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9291320 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Rural Health Incorporated | Current |
Accepting new patients | |
| Jeffery S Kelley MD | Current | Accepting new patients | |
| J S Michael Smith MD PA | Current | Accepting new patients |
Locations
14088 Alabama St
Jay, FL 32565
Phone (850) 675-4546
Interoperability endpoints
- yunwei.chang@jaymedical.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 9291320 | FL | Yes |
Addresses
Primary practice location
6341 Highway 90
Milton, FL 32570-4503
Mailing address
6341 Highway 90
Milton, FL 32570-4503
Phone (850) 981-0320
Other providers in Milton, FL
- Julia Cassady
- Erika Cathey
- Autumn Caughey
- Center for Total Womens Health PA
- Chandria Lynn Johnson MD PA
- Charles Pharmacy Inc
- Kelly Ann Chavers
- Children'S Home Society of Florida
- Kevin Michael Chobert
- Catia Cividini-Motta
All providers in Milton, FL · Acute Care Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2015. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.