Sharon Chang, NP

Individual provider Active NPI Family Nurse Practitioner · Lewis McChord, WA

NPI 1699196865 · NPPES record last updated Feb 7, 2019

Key facts

NPI
1699196865
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP9571 (AZ)
Practice address
690 Barnes Blvd
Lewis McChord, WA 98438
Phone
(253) 982-5601
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161116000328 AZ Practitioner - Nurse Practitioner 0547583304 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Family Care, LLC Family Current
since Oct 26, 2016
Accepting new patients
Nextcare Arizona LLC Current
since Dec 19, 2016
Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
David Engelsberg MD PC Past
since Oct 26, 2016
Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

4280 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-0095

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

6624 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 818-8477

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9571 AZ Yes

Addresses

Primary practice location

690 Barnes Blvd
Lewis McChord, WA 98438

Mailing address

6895 E Sunrise Drive
Tucson, AZ 85750
Phone (520) 615-4800

Other providers in Lewis McChord, WA

All providers in Lewis McChord, WA · Family Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.