Individual provider Active NPI

Nan Wang, MD

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1851788285
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
201902000 Issued in NC
Practice address
901 Ridgefield Dr
Raleigh, NC 27609-8504
Phone
(919) 876-9797
Fax
(919) 790-1254
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 201902000 NC Primary

Addresses

Primary practice location

901 Ridgefield Dr
Raleigh, NC 27609-8504

Mailing address

901 Ridgefield Dr
Raleigh, NC 27609-8504
Phone (919) 876-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001422 NC Practitioner - Obstetrics/Gynecology 4486963667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

901 Ridgefield Dr
Raleigh, NC 27609-8504
Phone (919) 876-9797

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201902000NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Sep 4, 2021 Accepting new patients
Nash OB-GYN Associates, P.a. Obstetrics & Gynecology CurrentSince Oct 1, 2019 Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Locations

901 Ridgefield Dr
Raleigh, NC 27609
Phone (919) 876-9797

200 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 443-5941

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Organizations & group practices 3

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1851788285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIDGEFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098504",
            "telephone_number": "919-876-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIDGEFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098504",
            "telephone_number": "919-876-9797",
            "fax_number": "919-790-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "NAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "201902000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.