Nicholas Chang, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO61087244 Issued in WA

Practice address

1617 E Division St
Mount Vernon, WA 98274-4503

Phone

(360) 424-7018

NPI assigned

Jul 4, 2019

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicholas Hang-Luen Chang Other name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Island Hospital Hospital, Anacortes, WA, CCN 500007
• Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Skagit Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Mount Vernon, WA
  • NPI 1124774864
  Medicare reassignment NPD Authorized official
• PNC Podiatry of Washington PLLC

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
  • NPI 1154106516
  Medicare reassignment NPD
• PNC Podiatry of Washington PLLC

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
  • NPI 1659249126
  NPD

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

• Public Hospital Dist No 1 Skagit

  dba Skagit Valley Hospital

  • General Acute Care Hospital
  • Mount Vernon, WA
  • NPI 1053357244
  Care Compare affiliation
• Public Hospital District No 2 Skagit County Washington

  dba Island Hospital

  • General Acute Care Hospital
  • Anacortes, WA
  • NPI 1710913140
  Care Compare affiliation

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1265094700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-424-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-424-7018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212328",
            "country_code": "US",
            "telephone_number": "360-424-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-04",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61087244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "CHANG",
            "middle_name": "HANG-LUEN",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katy Chamberlain, LMP, CCT
• Kelsey Rae Chambers, CNM
• Albert Chan
• Douglas Chandler, MSW
• Edwin Yao-Yuan Chang, MD
• Chorng-Yu Elizabeth Chao, DO
• Charis Counseling LLC
• Erin E Charles, MD
• Kiran Chaturvedi, M.D.
• Emily F Chau, DPM

• Foot & Ankle Surgery Podiatrist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.