1. Home
  2. Directory
  3. Connecticut
  4. Hartford
  5. Physician Assistant
  6. NPI Profile

QIUJUAN WANG PA
NPI 1174901003
Physician Assistant - Medical in Hartford, CT

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06102(860) 696-4306(860) 696-5140 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, Oct 17, 2022, May 20, 2020 and 3 more (6 updates tracked since 2018).

About Qiujuan Wang Pa NPPES

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

QIUJUAN WANG PA (NPI 1174901003) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (7698) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174901003
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameQIUJUAN WANGCredential: PA
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address1290 Silas Deane Hwy, Hhc CvoWethersfield, CT 06109-4337 · (860) 972-5507 · Fax (860) 972-7040
Phone(860) 696-4306
Fax(860) 696-5140
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 12, 2015
Last NPPES UpdateMay 28, 20266 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1174901003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CT · 7698✔ Licensed in OH · 004328
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60989637 (WA), PA9113633 (FL), 018589 (NY), 0110006085 (VA)
80 SEYMOUR ST, Hartford, CT 06102
Open in Google Maps ↗

Other Identifiers 1

Medicaid05382861NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Qiujuan Wang Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305167131
PECOS Enrollment IDI20260604001686
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.

Other Providers at the Same Location NPPES 20

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

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Qiujuan Wang's NPI number?

The NPI number for Qiujuan Wang is 1174901003. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Qiujuan Wang located?

Qiujuan Wang practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 696-4306.

What is Qiujuan Wang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Qiujuan Wang enrolled in Medicare?

Yes. Qiujuan Wang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Qiujuan Wang accept?

Health plans from Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare) and Providence Health Plan list Qiujuan Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Qiujuan Wang was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.