Individual provider Active NPI

Yi-Jen Chiang, FNP-BC

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1689812661
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60607267 Issued in WA
Practice address
400 108TH Ave NE Ste 100
Bellevue, WA 98004-5508
Phone
(425) 635-6350
Fax
(425) 635-6351
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 AP60607267 WA Primary

Addresses

Primary practice location

400 108TH Ave NE Ste 100
Bellevue, WA 98004-5508

Mailing address

400 108TH Ave NE Ste 100
Bellevue, WA 98004-5508
Phone (214) 991-9445

Other practice location 1

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170717002322 WA Practitioner - Nurse Practitioner 8325195027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

333 108TH Ave NE
Suite M150
Bellevue, WA 98004-5703
Phone (425) 454-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC CurrentSince Jun 1, 2017 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jun 1, 2017 Accepting new patients
The Little Clinic of Indiana LLC Family Past Accepting new patients
Kroger Limited Partnership I Past Accepting new patients

Locations

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

400 108th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 467-3785

10223 NE 10th St
Bellevue, WA 98004
Phone (425) 453-3288

333 108th Ave NE
Ste M150
Bellevue, WA 98004
Phone (425) 454-3300

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1689812661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045508",
            "telephone_number": "214-991-9445",
            "fax_number": "615-425-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045508",
            "telephone_number": "425-635-6350",
            "fax_number": "425-635-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044604",
            "country_code": "US",
            "telephone_number": "425-688-5000",
            "fax_number": "425-635-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "YI-JEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60607267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.