ANNIE CHAN RN, FNP
NPI 1285036152
Nurse Practitioner - Family in New York, NY
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annie Chan Rn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Annie Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: One Medical Of Ny PC
- 139 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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.
Where is Annie Chan located?
Annie Chan practices at 30 Broad St Fl 45, New York, NY 10004. The listed phone number is (212) 530-0630.
What is Annie Chan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Annie Chan enrolled in Medicare?
Yes. Annie Chan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Annie Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annie Chan reassigns Medicare benefits to 2 organizations: One Medical Of Ny, P.C. (New York, NY) and Montefiore Medical Center (New York, NY). 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 Annie Chan'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 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.
# Annie Chan, RN, FNP · NPI 1285036152
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 22, 2014.
## Identity
- **NPI:** 1285036152 (Entity type: Individual)
- **Enumerated:** September 22, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 340246 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 BROAD ST FL 45, New York, NY 10004-2942
- **Phone:** (212) 530-0630
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): One Medical Of Ny, P.C. (NPI 1861709487, New York, NY); Montefiore Medical Center (NPI 1760288278, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285036152) · Data from the CMS NPPES public registry.