FAN GONG
NPI 1396381166
Nurse Practitioner in Abington, PA

Q: What is Fan Gong's NPI number?

The NPI number for Fan Gong is 1396381166. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Q: What is Fan Gong'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 Fan Gong was last updated on February 26, 2020. 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 26, 2019PECOS EnrolledAccepts Medicare Assignment

1200 OLD YORK RD, CHIEF OF STAFF OFFICE, ABINGTON, PA 19001(215) 481-2334(215) 481-4074 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 26, 2020, Nov 26, 2019 (2 updates tracked since 2019).

On this page

About Fan Gong NPPES

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

FAN GONG (NPI 1396381166) is an individual nurse practitioner in Abington, Pennsylvania, licensed in Pennsylvania (SP021209) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396381166

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameFAN GONG

Location Address1200 OLD YORK RD, CHIEF OF STAFF OFFICEAbington, PA 19001

Mailing Address4 Moccasin TrlMedia, PA 19063-4721 · (412) 608-0245

Phone(215) 481-2334

Fax(215) 481-4074

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 26, 2019

Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration

✔ NPI 1396381166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP021209

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License SP021209 (PA)

1200 OLD YORK RD, Abington, PA 19001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fan Gong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789004839

PECOS Enrollment IDI20201012001913

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.

Medicare Billing Reassignments

Medicare enrollment records show Fan Gong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abington Memorial Hospital

Same address

Hospitalist

1200 OLD YORK RD, DEPARTMENT OF MEDICINE
Abington, PA 19001

Reassigned Medicare billing, Pennsylvania enrollment
167 clinicians in this Medicare group

NPI 1770508319 (215) 481-2222

Main Line Healthcare

18 mi

Family Medicine

3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073

Reassigned Medicare billing, Pennsylvania enrollment
1,638 clinicians in this Medicare group

NPI 1922077643 (484) 337-1585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

162 services160 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

DR. SHAILI NEPAL M.D.

Internal Medicine

1200 OLD YORK RD
ABINGTON, PA 19001

Montgomery County (215) 481-2191

ANGELA CARRACINO DO

Obstetrics & Gynecology

1200 OLD YORK RD
ABINGTON, PA 19001

Montgomery County (215) 481-2606

MR. KRISHNA CHAUDHARY MD

Internal Medicine

1200 OLD YORK RD, SUITE 2B
ARINGTON, PA 19001

Montgomery County (215) 481-2222

ANDRIY BASHTA

Nurse Practitioner (Acute Care)

1200 OLD YORK RD
ABINGTON, PA 19001

Montgomery County (215) 481-3145

GRIFFIN JOHNSON MD

Student in an Organized Health Care Education/Training Program

1200 OLD YORK RD
ABINGTON, PA 19001

Montgomery County (215) 481-2000

MEGAN GRIFFITH

Surgery (Vascular Surgery)

1200 OLD YORK RD
ABINGTON, PA 19001

Montgomery County (215) 481-2000

OSMAN KOZAK

Psychiatry & Neurology (Neurology)

1200 OLD YORK RD, 5 TOLL
ABINGTON, PA 19001

Montgomery County (215) 481-3145

DAVID M COMPERATORE MD

Emergency Medicine

1200 OLD YORK RD
ABINGTON, PA 19001

Montgomery County (215) 481-4355

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 Fan Gong's NPI number?

The NPI number for Fan Gong is 1396381166. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Fan Gong located?

Fan Gong practices at 1200 Old York Rd Chief Of Staff Office, Abington, PA 19001. The listed phone number is (215) 481-2334.

What is Fan Gong's specialty?

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

Is Fan Gong enrolled in Medicare?

Yes. Fan Gong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Fan Gong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fan Gong reassigns Medicare benefits to 2 organizations: Abington Memorial Hospital (Abington, PA) and Main Line Healthcare (Newtown Square, PA). 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 Fan Gong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fan Gong accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Fan Gong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fan Gong affiliated with any hospitals?

According to CMS data, Fan Gong is affiliated with Jefferson Health- Northeast and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Fan Gong was last updated on February 26, 2020. 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.