Individual provider Active NPI

Shoua Dorothy Hang, FNP-BC

  • Family Nurse Practitioner
  • Franklin, WI
National Provider Identifier
1720548415
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9119-33 Issued in WI
Practice address
9379 S 35TH St
Franklin, WI 53132-9151
Phone
(414) 699-4219
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 9119-33 WI Primary

Addresses

Primary practice location

9379 S 35TH St
Franklin, WI 53132-9151

Mailing address

9379 S 35TH St
Franklin, WI 53132-9151
Phone (414) 699-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20241016003632 WI Practitioner - Nurse Practitioner 8224560107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Wound Physicians of the Mid-West, S.C.Group PAC ID 9739467309, 13 clinicians

Practice addresses (Care Compare)

4611 N 92ND St
Wauwatosa, WI 53225-4823
Phone (414) 464-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9119-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of the Mid-West, S.C. CurrentSince Aug 26, 2024 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

Organizations & group practices 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1720548415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9379 S 35TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329151",
            "telephone_number": "414-699-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9379 S 35TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329151",
            "telephone_number": "414-699-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANG",
        "first_name": "SHOUA",
        "middle_name": "DOROTHY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9119-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.