ANNIE CHAN RN, FNP
NPI 1285036152
Nurse Practitioner - Family in New York, NY

Q: What is Annie Chan's NPI number?

The NPI number for Annie Chan is 1285036152. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Q: What is Annie Chan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annie Chan was last updated on February 5, 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.

Active since September 22, 2014PECOS Enrolled

30 BROAD ST FL 45, NEW YORK, NY 10004(212) 530-0630 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Jun 25, 2020, Jun 7, 2017 and 2 more (5 updates tracked since 2016).

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About Annie Chan Rn, Fnp NPPES

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

ANNIE CHAN RN, FNP (NPI 1285036152) is an individual family provider in New York, New York, licensed in New York (340246) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285036152

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNIE CHANCredential: RN, FNP

Location Address30 BROAD ST FL 45New York, NY 10004-2942

Mailing Address129 W 29th St Fl 10New York, NY 10001-5105 · (415) 658-6791

Phone(212) 530-0630

Sole ProprietorNo

Enumeration DateSeptember 22, 2014

Last NPPES UpdateFebruary 5, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1285036152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · 340246✔ Licensed in MA · RN2338100

Also ListedRegistered NurseTaxonomy 163W00000X · License 687127 (NY)

30 BROAD ST FL 45, New York, NY 10004

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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)

Annie Chan Rn, Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10004 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

RESHMA H. PATEL P.A.

Physician Assistant