Individual provider Active NPI

Lindsey Wong, FNP-C

  • Nurse Practitioner
  • Astoria, OR
National Provider Identifier
1881384006
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10026153 Issued in OR
Practice address
2120 Exchange St Ste 111
Astoria, OR 97103-3366
Phone
(503) 325-0333
NPI assigned
May 10, 2023
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10026153 OR Primary

Addresses

Primary practice location

2120 Exchange St Ste 111
Astoria, OR 97103-3366

Mailing address

2120 Exchange St Ste 111
Astoria, OR 97103-3366
Phone (503) 325-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240910002555 OR Practitioner - Nurse Practitioner 3375083967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgentcare NW-Astoria PCGroup PAC ID 5799847232, 5 clinicians

Practice addresses (Care Compare)

2120 Exchange St
Suite 111
Astoria, OR 97103-3366
Phone (503) 325-0333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10026153ORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgentcare NW-Astoria PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

2158 Exchange St
Ste 111
Astoria, OR 97103
Phone (503) 325-0333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1881384006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 111",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033366",
            "telephone_number": "503-325-0333",
            "fax_number": "503-325-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 111",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033366",
            "telephone_number": "503-325-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LINDSEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10026153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.