Individual provider Active NPI

Wai Ki Chung

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1316731185
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
863118 Issued in NV
Practice address
7720 W Sahara Ave Ste 103
Las Vegas, NV 89117-2754
Phone
(702) 228-9888
Fax
(866) 920-0799
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 863118 NV Primary

Addresses

Primary practice location

7720 W Sahara Ave Ste 103
Las Vegas, NV 89117-2754

Mailing address

7720 W Sahara Ave Ste 103
Las Vegas, NV 89117-2754
Phone (702) 228-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250730003211 NV Practitioner - Nurse Practitioner 6406363704 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kec Chang Medical Associates, PC CurrentSince Jun 25, 2025 Accepting new patients

Locations

7720 W Sahara Ave
Ste 103
Las Vegas, NV 89117
Phone (702) 228-9888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1316731185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 W SAHARA AVE STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172754",
            "telephone_number": "702-228-9888",
            "fax_number": "866-920-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 W SAHARA AVE STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172754",
            "telephone_number": "702-228-9888",
            "fax_number": "866-920-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "WAI KI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "863118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.