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STEPHANIE TAN
NPI 1447633904
Nurse Practitioner - Family in Sunnyside, NY

Active since July 01, 2015PECOS Enrolled
4209 47TH AVE APT 5E, SUNNYSIDE, NY 11104(917) 476-4864 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Tan NPPES

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

STEPHANIE TAN (NPI 1447633904) is an individual family provider in Sunnyside, New York, licensed in New York (F339427-1) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447633904
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE TAN
Location Address4209 47TH AVE APT 5ESunnyside, NY 11104-3032
Mailing Address4209 47th Ave Apt 5eSunnyside, NY 11104-3032 · (917) 476-4864
Phone(917) 476-4864
Sole ProprietorYes
Enumeration DateJuly 1, 2015
✔ NPI 1447633904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339427-1
4209 47TH AVE APT 5E, Sunnyside, NY 11104
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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)

Stephanie Tan 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 11104 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Stephanie Tan's NPI number?

The NPI number for Stephanie Tan is 1447633904. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Stephanie Tan located?

Stephanie Tan practices at 4209 47th Ave Apt 5E, Sunnyside, NY 11104. The listed phone number is (917) 476-4864.

What is Stephanie Tan's specialty?

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

Is Stephanie Tan enrolled in Medicare?

Yes. Stephanie Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Tan was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.