Active NPI
Tao Wang, NP
- Family Nurse Practitioner
- Magnolia, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A006185
- Practice address
- 100 E University
Magnolia, AR 71753-2181 - Phone
- (870) 235-5255
- NPI assigned
- Nov 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A006185 | AR | Primary |
Addresses
Primary practice location
100 E University
Magnolia, AR 71753-2181
Mailing address
811 Olive
Magnolia, AR 71753-3020
Phone (870) 345-0250
Other practice location 1
1920 Galleria Oaks Dr
Texarkana, TX 75503-4619
Phone (903) 792-6114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A006185 | Other | AR | ARKANSAS STATE BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twang@saumag.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Venvisor Health of Ar PA | Current | Accepting new patients | |
| Pallicare, Inc | Current | Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
1920 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-6114
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Bentonville, AR
- NPI 1992553028
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1275177073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 OLIVE",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717533020",
"telephone_number": "870-345-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E UNIVERSITY",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532181",
"telephone_number": "870-235-5255"
}
],
"practiceLocations": [
{
"address_1": "1920 Galleria Oaks Dr",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755034619",
"country_code": "US",
"telephone_number": "903-792-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "TAO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-05",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A006185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE BOARD OF NURSING",
"identifier": "A006185",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twang@saumag.edu",
"affiliation": "N",
"address_1": "100 E University",
"city": "Magnolia",
"state": "AR",
"country_code": "US",
"postal_code": "717532181",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.