MS. LYSTRA CHANG APRN
NPI 1306577101
Nurse Practitioner - Acute Care in Hollywood, FL

Q: What is Lystra Chang's NPI number?

The NPI number for Lystra Chang is 1306577101. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Q: What is Lystra Chang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Lystra Chang was last updated on May 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2022PECOS Enrolled

3702 WASHINGTON ST STE 303, HOLLYWOOD, FL 33021(954) 518-2424(954) 981-3476 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Lystra Chang Aprn NPPES

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

MS. LYSTRA CHANG APRN (NPI 1306577101) is an individual acute care provider in Hollywood, Florida, licensed in Florida (APRN11019338) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306577101

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. LYSTRA CHANGCredential: APRN

Location Address3702 WASHINGTON ST STE 303Hollywood, FL 33021-8287

Mailing Address7661 Nw 88th LnTamarac, FL 33321-2407 · (954) 376-0035

Phone(954) 518-2424

Fax(954) 981-3476

Sole ProprietorNo

Enumeration DateJune 22, 2022

Last NPPES UpdateMay 5, 2026

NPPES CertifiedMay 5, 2026

✔ NPI 1306577101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in FL · APRN11019338✔ Licensed in NY · 433616

3702 WASHINGTON ST STE 303, Hollywood, FL 33021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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)

Ms. Lystra Chang Aprn 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 33021 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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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.

BREONNA ELIZABETH HOLLAND MD

Physical Medicine & Rehabilitation