SHUO WANG
NPI 1265194369
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Q: What is Shuo Wang's NPI number?

The NPI number for Shuo Wang is 1265194369. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Q: What is Shuo Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shuo Wang was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 06, 2021PECOS Enrolled

MSC09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-8244(505) 272-4639 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Sep 19, 2022, Oct 6, 2021 (3 updates tracked since 2021).

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About Shuo Wang NPPES

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

SHUO WANG (NPI 1265194369) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1265194369

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHUO WANG

Location AddressMSC09 5030 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001

Mailing AddressMsc09 5030 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-8244 · Fax (505) 272-4639

Phone(505) 272-8244

Fax(505) 272-4639

Sole ProprietorNo

Enumeration DateOctober 6, 2021

Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1265194369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9531433 (FL)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 65515 (NM)

MSC09 5030 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

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Secondary Practice Location 1

Location 11217 1st St NWAlbuquerque, NM 87102-1529 · Phone (505) 766-5197

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

DR. MONICA JULIANNE GOODMAN MD

Student in an Organized Health Care Education/Training Program