DECHEN WANGMO NP
NPI 1164312716
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Q: What is Dechen Wangmo's NPI number?

The NPI number for Dechen Wangmo is 1164312716. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Q: What is Dechen Wangmo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Dechen Wangmo was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 07, 2025PECOS Enrolled

7901 BROADWAY # D10-38, ELMHURST, NY 11373(718) 334-3570(718) 334-5006 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dechen Wangmo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DECHEN WANGMO NP (NPI 1164312716) is an individual psychiatric/mental health provider in Elmhurst, New York, licensed in New York (406739) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164312716

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDECHEN WANGMOCredential: NP

Location Address7901 BROADWAY # D10-38Elmhurst, NY 11373-1329

Mailing Address7901 Broadway # D10-38Elmhurst, NY 11373-1329 · (718) 334-3570 · Fax (718) 334-5006

Phone(718) 334-3570

Fax(718) 334-5006

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 7, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1164312716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 406739

7901 BROADWAY # D10-38, Elmhurst, NY 11373

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dechen Wangmo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305348301

PECOS Enrollment IDI20250909000004

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN YI NP

Nurse Practitioner (Psychiatric/Mental Health)