Individual provider Active NPI

Michelle Xiaoyu Chang, CRNA

  • Certified Registered Nurse Anesthetist
  • Flushing, NY
National Provider Identifier
1346211562
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
443748 Issued in NY
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-1080
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 443748 NY Primary

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

575 Lexington Ave
New York, NY 10022-6102
Phone (917) 349-1711

Other names 1

  • Xiaoyu Chang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000837 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042233843 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
443748NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP CurrentSince Apr 1, 2017 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Oct 23, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 23, 2024 Accepting new patients
New York University Current Accepting new patients
New York University CurrentSince Jul 1, 2017 Accepting new patients
New York University CurrentSince Jul 1, 2017 Accepting new patients
Queens Physician Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

451 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 245-3131

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1500 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 205-0800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mchang1944748@nychhc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1346211562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "917-349-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHELLE",
        "middle_name": "XIAOYU",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-10-28",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "443748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIAOYU",
            "last_name": "CHANG",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.