Individual provider Active NPI

Chuangmin Wu, NP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1427411099
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130709 Issued in TX
Practice address
4040 McDermott Rd Ste 100
Plano, TX 75024-7735
Phone
(972) 668-6868
NPI assigned
Mar 31, 2016
Last updated
May 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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 AP130709 TX Primary

Addresses

Primary practice location

4040 McDermott Rd Ste 100
Plano, TX 75024-7735

Mailing address

PO Box 250434
Plano, TX 75025-0434
Phone (972) 668-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220629001637 TX Practitioner - Nurse Practitioner 6901286541 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yan Li, MD., PHD., P.a. CurrentSince Mar 15, 2022 Accepting new patients
Nghi B Phan MD, PA PastSince May 29, 2022 Accepting new patients

Locations

4040 McDermott Rd
Ste 100
Plano, TX 75024
Phone (972) 658-6868

4666 McDermott Rd
Ste 100
Plano, TX 75024
Phone (972) 668-6868

3413 Spectrum Blvd
#100
Richardson, TX 75082
Phone (972) 668-6868

Organizations & group practices 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1427411099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250434",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250434",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MCDERMOTT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247735",
            "telephone_number": "972-668-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "CHUANGMIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.