UPSTATE WELLNESS AND AESTHETIC SERVICES
NPI 1083563936
Nurse Practitioner - Primary Care in Albany, NY
About Upstate Wellness And Aesthetic Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE WELLNESS AND AESTHETIC SERVICES (NPI 1083563936) is a healthcare organization registered as a primary care in Albany, New York and active in the NPI registry since January 2026. The organization lists Wayne Elroy Chan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upstate Wellness And Aesthetic Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Upstate Wellness And Aesthetic Services, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Upstate Wellness And Aesthetic Services's NPI number?
The NPI number for Upstate Wellness And Aesthetic Services is 1083563936. It was assigned to this organization in the NPPES registry on January 24, 2026.
Where is Upstate Wellness And Aesthetic Services located?
Upstate Wellness And Aesthetic Services is located at 200 Washington Avenue Ext, Albany, NY 12203. The listed phone number is (518) 456-2000.
What is Upstate Wellness And Aesthetic Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Upstate Wellness And Aesthetic Services enrolled in Medicare?
Yes. Upstate Wellness And Aesthetic Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Wellness And Aesthetic Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Upstate Wellness And Aesthetic Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Upstate Wellness And Aesthetic Services was last updated on January 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Upstate Wellness And Aesthetic Services · NPI 1083563936
Primary Care organization in Albany, New York. Organization record, active in the CMS NPPES registry since January 24, 2026.
## Identity
- **NPI:** 1083563936 (Entity type: Organization)
- **Enumerated:** January 24, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Wayne Chan, CEO
## Practice location
- **Address:** 200 WASHINGTON AVENUE EXT, Albany, NY 12203-5394
- **Phone:** (518) 456-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083563936) · Data from the CMS NPPES public registry.