Tommy Y Chang, NP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Big Spring, TX
NPI 1699170498 · NPPES record last updated Nov 14, 2020
Key facts
- NPI
- 1699170498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 631339 (TX)
- Practice address
- 1901 N US Highway 87
Big Spring, TX 79720-0283 - Phone
- (432) 267-8216
- NPI assigned
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health and Human Services Commission
Practice addresses (Care Compare)
1901 N US Hwy 87
Big Spring State Hospital
Big Spring, TX 79720-0283
Phone (432) 267-8216
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620001455 | TX | Practitioner - Nurse Practitioner | 4385935527 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 631339 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Big Bend Medical Group | Current |
Accepting new patients | |
| Health and Human Services Commission | Current |
Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Big Bend Medical Group | Current |
Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current |
Accepting new patients |
Locations
1608 W FM 700
Ste B
Big Spring, TX 79720
Phone (432) 267-1441
1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216
1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700
1608 W FM 700
Ste A
Big Spring, TX 79720
Phone (432) 267-1014
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 631339 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 631339 | TX | Yes |
Addresses
Primary practice location
1901 N US Highway 87
Big Spring, TX 79720-0283
Mailing address
1901 N US Highway 87
Big Spring, TX 79720-0283
Phone (432) 267-8216
Other providers in Big Spring, TX
- Heather Cave
- Cezary Kuprianowicz Mdpa
- Carolyn Chakuroff
- Ann Chang
- John F. Chang
- Joseph Edward Chavez
- Becky Lynn Chesworth
- Children'S Dental Center of Big Spring, PLLC
- Ji Choi
- Ketaki Chougule
All providers in Big Spring, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.