Individual provider Active NPI

Jianwei Chang Dillon

  • Family Nurse Practitioner
  • Rangely, CO
National Provider Identifier
1699447714
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996972-NP Issued in CO
Practice address
225 Eagle Crest Dr
Rangely, CO 81648-2104
Phone
(970) 675-5011
NPI assigned
Sep 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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 APN.0996972-NP CO Primary

Addresses

Primary practice location

225 Eagle Crest Dr
Rangely, CO 81648-2104

Mailing address

225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-2237

Other names 1

  • Jianwei Chang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220221000030 CO Practitioner - Nurse Practitioner 7618361593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rangely Hospital DistrictGroup PAC ID 6103714175, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-4253

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rangely Hospital District Current Accepting new patients
Rangely Hospital District CurrentSince Jan 1, 2022 Accepting new patients
Rangely Hospital District CurrentSince Jan 1, 2022 Accepting new patients
Rangely Hospital District Current Accepting new patients

Locations

225 Eagle Crest Dr
Rangely, CO 81648
Phone (970) 675-4253

225 Eagle Crest Dr
Ste 1
Rangely, CO 81648

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15452/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jianwei.chang.dillon.1@15452.direct.athenahealth.com
  • Direct secure messaging: jianwei.chang.dillon.2@15452.direct.athenahealth.com

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 3

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1699447714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST DR",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105",
            "telephone_number": "970-675-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST DR",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816482104",
            "telephone_number": "970-675-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG DILLON",
        "first_name": "JIANWEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996972-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIANWEI",
            "last_name": "CHANG",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rangely, CO

Sources for this page

Verify at the official NPI Registry.