MISS IRENE SHUK WONG N.P.
NPI 1366516205
Nurse Practitioner in San Jose, CA

Q: What is Irene Wong's NPI number?

The NPI number for Irene Wong is 1366516205. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Miss Shuk L Wong N.P..

Q: What is Irene Wong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Irene Wong was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 20, 2006PECOS Enrolled

4855 ATHERTON AVE, SAN JOSE, CA 95130(888) 357-3058 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Irene Shuk Wong N.p. NPPES

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

MISS IRENE SHUK WONG N.P. (NPI 1366516205) is an individual nurse practitioner in San Jose, California, licensed in California (12816) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Menlo Park.

NPPES Registry Identity

NPI1366516205

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMISS IRENE SHUK WONGCredential: N.P.

Location Address4855 ATHERTON AVESan Jose, CA 95130

Mailing Address12900 Park Plaza Dr Ste 150Cerritos, CA 90703-9329 · (562) 622-2800

Phone(888) 357-3058

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateAugust 30, 2019

✔ NPI 1366516205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 12816

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.

4855 ATHERTON AVE, San Jose, CA 95130

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Other Names 1

Other Name (5)Miss Shuk L Wong N.p.

Secondary Practice Location 1

Location 1795 Willow Rd,, 331CMenlo Park, CA 94025 · Phone (650) 493-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Irene Shuk Wong N.p. 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 95130 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 2

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

MRS. AYA PIERRE NP

Nurse Practitioner (Family)

4855 ATHERTON AVE
SAN JOSE, CA 95130

Santa Clara County (650) 796-9117

MS. SHARYN HIGDON JONES MFT

Marriage & Family Therapist

4855 ATHERTON AVE, SUITE 201
SAN JOSE, CA 95130

Santa Clara County (408) 450-2660

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 Irene Wong's NPI number?

The NPI number for Irene Wong is 1366516205. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Miss Shuk L Wong N.P..

Where is Irene Wong located?

Irene Wong practices at 4855 Atherton Ave, San Jose, CA 95130. The listed phone number is (888) 357-3058.

What is Irene Wong's specialty?

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

Is Irene Wong enrolled in Medicare?

Yes. Irene Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irene Wong was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.