ZHAN WANG
NPI 1205486420
Nurse Practitioner in South Salt Lake, UT

Active since September 19, 2019PECOS EnrolledAccepts Medicare Assignment
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115(801) 288-2634(801) 288-1186 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, May 17, 2021, Mar 25, 2021 and 1 more (4 updates tracked since 2019).

About Zhan Wang NPPES

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

ZHAN WANG (NPI 1205486420) is an individual nurse practitioner in South Salt Lake, Utah, licensed in Utah (6607076-4405) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205486420
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameZHAN WANG
Location Address3702 S STATE ST STE 107South Salt Lake, UT 84115-5096
Mailing Address3702 S State St Ste 107South Salt Lake, UT 84115-5096 · (801) 288-2634 · Fax (801) 288-1186
Fax(801) 288-1186
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 19, 2019
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1205486420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in UT · 6607076-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6607076-4405 (UT)
3702 S STATE ST STE 107, South Salt Lake, UT 84115

Other Identifiers 1

Medicaid1205486420UT

Accepted 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

Zhan Wang 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 ID8426482910
PECOS Enrollment IDI20191216000924
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.

Areas of Expertise CMS Part B claims 2

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
26 services21 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 20

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

Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SALT LAKE CITY, UT 84115
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115

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 Zhan Wang's NPI number?

The NPI number for Zhan Wang is 1205486420. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Zhan Wang located?

Zhan Wang practices at 3702 S State St Ste 107, South Salt Lake, UT 84115. The listed phone number is (801) 288-2634.

What is Zhan Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Zhan Wang enrolled in Medicare?

Yes. Zhan 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 Zhan Wang accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Zhan 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 Zhan Wang was last updated on May 6, 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.