Individual provider Active NPI

Weiyi Pan, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1639606544
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341448 Issued in NY
Practice address
7105 3Rd Ave
Brooklyn, NY 11209-1308
Phone
(347) 251-8830
Fax
(347) 251-8830
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 341448 NY Primary

Addresses

Primary practice location

7105 3Rd Ave
Brooklyn, NY 11209-1308

Mailing address

2585 E 21St St
Brooklyn, NY 11235-2918
Phone (347) 251-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171107001520 NY Practitioner - Nurse Practitioner 4587938196 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Living-at-Home Medical, PC CurrentSince Aug 30, 2017 Accepting new patients
Team Care Medical PLLC CurrentSince Aug 21, 2025 Accepting new patients

Locations

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

7105 3rd Ave
Brooklyn, NY 11209
Phone (718) 663-1842

Networks

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

Interoperability endpoints

  • Direct secure messaging: weiyi.pan.1@32021.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1639606544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352918",
            "telephone_number": "347-251-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091308",
            "telephone_number": "347-251-8830",
            "fax_number": "347-251-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "WEIYI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.