Active NPI
Yong Pan
- Family Nurse Practitioner
- Apache Junction, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 293421
- Practice address
- 183 W Apache TRL Ste B109
Apache Junction, AZ 85120-3425 - Phone
- (480) 618-0945
- Fax
- (602) 671-6859
- NPI assigned
- Jul 28, 2023
- Last updated
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 293421 | AZ | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 293421 | AZ |
Addresses
Primary practice location
183 W Apache TRL Ste B109
Apache Junction, AZ 85120-3425
Mailing address
PO Box 746093
Atlanta, GA 30374-6093
Phone (773) 352-1517
Other practice location 1
550 N 3rd St
Phoenix, AZ 85004-2154
Phone (602) 820-8826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293421 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Arizona PLLC | Nurse Practitioner | Current | Accepting new patients |
| East Valley Psychiatry LLC | Current | Accepting new patients |
Locations
183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
2036 N Gilbert Rd
#2134
Mesa, AZ 85203
2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019
3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707
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.
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1992240857
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1598446841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746093",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746093",
"telephone_number": "773-352-1517",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 W APACHE TRL STE B109",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851203425",
"telephone_number": "480-618-0945",
"fax_number": "602-671-6859"
}
],
"practiceLocations": [
{
"address_1": "550 N 3rd St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850042154",
"country_code": "US",
"telephone_number": "602-820-8826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAN",
"first_name": "YONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "293421",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "293421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.