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QIANQIAN WANG NP
NPI 1174356604
Nurse Practitioner - Family in Latham, NY

Active since August 21, 2024PECOS Enrolled
588 NEW LOUDON RD, LATHAM, NY 12110(518) 785-2662(518) 786-6547 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Qianqian Wang Np NPPES

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

QIANQIAN WANG NP (NPI 1174356604) is an individual family provider in Latham, New York, licensed in New York (2918828) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174356604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameQIANQIAN WANGCredential: NP
Location Address588 NEW LOUDON RDLatham, NY 12110-4057
Mailing Address588 New Loudon RdLatham, NY 12110-4057 · (518) 785-2662 · Fax (518) 786-6547
Phone(518) 785-2662
Fax(518) 786-6547
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1174356604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 2918828
588 NEW LOUDON RD, Latham, NY 12110
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Secondary Practice Location 1

Location 11770 Central AveAlbany, NY 12205-4755 · Phone (518) 869-9692 · Fax (518) 869-7220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID547791501
PECOS Enrollment IDI20241001002425
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Qianqian Wang reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ctp Newton Medical PC
Same address
Urgent Care
588 NEW LOUDON RD
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1942285804 (New York)
  • 9 clinicians in this Medicare group
NPI 1801851829 (518) 785-2662
Statline Medical PC
102 mi
Internal Medicine
3 SONOMA RD
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 51 clinicians in this Medicare group
NPI 1942872759 (914) 215-4748
New York State Medical Health Services PC
119 mi
Surgery
50 MAIN ST STE 1000
White Plains, NY 10606
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1053173872 (888) 402-0202
Senf Np Family Medicine PLLC
733 mi
Surgery
1901 N ROSELLE RD STE 800
Schaumburg, IL 60195
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
NPI 1821702432 (443) 383-9300
Wound Care Plus, LLC
907 mi
Specialist
100 S 4TH ST STE 550
Saint Louis, MO 63102
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1841657053 (888) 402-0202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
94 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

CTP NEWTON MEDICAL PC
Clinic/Center (Urgent Care)
588 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 785-2662

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 Qianqian Wang's NPI number?

The NPI number for Qianqian Wang is 1174356604. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Qianqian Wang located?

Qianqian Wang practices at 588 New Loudon Rd, Latham, NY 12110. The listed phone number is (518) 785-2662.

What is Qianqian Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Qianqian Wang enrolled in Medicare?

Yes. Qianqian Wang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Qianqian Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qianqian Wang reassigns Medicare benefits to 5 organizations: Ctp Newton Medical PC (Latham, NY), Statline Medical PC (Cortlandt Manor, NY), New York State Medical Health Services PC (White Plains, NY), Senf Np Family Medicine PLLC (Schaumburg, IL) and Wound Care Plus, LLC (Saint Louis, MO). Each 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 Qianqian Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Qianqian Wang was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.