De an Wang, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP9366373 Issued in FL

Practice address

1839 Central Ave
St Petersburg, FL 33713-8900

Phone

(727) 322-1054

Fax

(727) 821-7213

NPI assigned

Apr 1, 2016

Last updated

May 26, 2016By 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

Medicare fee-for-service enrollment

Enrolled in FL, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060
• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwang40526@skagit.direct-ci.com
• Direct secure messaging: dwang567107@direct.peacehealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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.

• South Sound Inpatient Physicians PLLC

  dba Sound Inpatient Physicians

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1023285756
  Medicare reassignment Care Compare group NPD
• Professional Health Care of Pinellas LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1881647253
  Medicare reassignment NPD
• Northwest Hospital Medicine Physicians LLC

  • Hospitalist Physician
  • Las Cruces, NM
  • NPI 1972056752

  WA

  Medicare reassignment NPD
• Professional Health Care of Pinellas Inc.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1568970903
  NPD
• Cogent Healthcare of Washington, PC

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1861430522
  NPD
• Hospitalist Medicine Physicians of California-San Bernardino, PC

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1376188078
  NPD
• South Sound Inpatient Physicians PLLC

  dba Sound Inpatient Physicians

  • Internal Medicine Physician
  • Hillsboro, OR
  • NPI 1508023789
  NPD
• South Sound Inpatient Physicians, PLLC

  • Hospitalist Physician
  • Silverdale, WA
  • NPI 1063854859
  NPD
• Public Hospital Dist No 1 Skagit

  dba Cascade Valley Hospital

  • General Acute Care Hospital
  • Arlington, WA
  • NPI 1073566246
  NPD (past)

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

• Commonspirit Washington Community Care

  dba St Michael Medical Center

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  Care Compare affiliation
• Public Hospital Dist No 1 Skagit

  dba Cascade Valley Hospital

  • General Acute Care Hospital
  • Arlington, WA
  • NPI 1073566246
  Care Compare affiliation

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1568825099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DE AN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9366373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Walton
• Xiaoming Shawn Wan, M.D.
• Areerat Wancowicz
• Wanda M Boote MD PA
• Danielle Marie Wanek, PT, DPT
• Jun Chih Wang, M.D.
• Shannon Wang
• Warby Parker Inc.
• Ada Ward-Timmons, EDD
• Aldric Ward

• Gerontology Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.