Individual provider Active NPI

Ying Yang, MSN, ANP

  • Adult Health Nurse Practitioner
  • Wayne, PA
National Provider Identifier
1639328032
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP020372 Issued in PA
Practice address
995 Old Eagle School Rd Ste 304F
Wayne, PA 19087-1701
Phone
(610) 688-3099
Fax
(610) 687-5350
NPI assigned
Sep 10, 2008
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA10230NP OH
Adult Health Nurse Practitioner 363LA2200X 10230-NP OH
Adult Health Nurse Practitioner 363LA2200X SP020372 PA Primary

Addresses

Primary practice location

995 Old Eagle School Rd Ste 304F
Wayne, PA 19087-1701

Mailing address

995 Old Eagle School Rd Ste 304F
Wayne, PA 19087-1701
Phone (610) 688-3099

Other identifiers 1

IdentifierTypeStateIssuer
2874993MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190912003010 PA Practitioner - Nurse Practitioner 1850450115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Dermatology, Inc.Group PAC ID 8527051523, 6 clinicians

Practice addresses (Care Compare)

995 Old Eagle School Rd
304F
Wayne, PA 19087-1701
Phone (610) 688-3099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA10230NPOHMDNurse Practitioner
10230-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Jul 8, 2019 Accepting new patients
Main Line Dermatology, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jul 8, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients

Locations

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1246 Wrights Ln
West Chester, PA 19380
Phone (610) 696-8615

Interoperability endpoints

  • Direct secure messaging: yyang@mainlinederm.emadirect.md

Organizations & group practices 4

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1639328032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 OLD EAGLE SCHOOL RD STE 304F",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871701",
            "telephone_number": "610-688-3099",
            "fax_number": "610-687-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 OLD EAGLE SCHOOL RD STE 304F",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871701",
            "telephone_number": "610-688-3099",
            "fax_number": "610-687-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "YING",
        "credential": "MSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA10230NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "10230-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP020372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2874993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.