STEPHANIE TAN
NPI 1447633904
Nurse Practitioner - Family in Sunnyside, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Tan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 79 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 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.
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.
Which organization bills Medicare for Stephanie Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Tan reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The 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 Stephanie Tan'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 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.
# Stephanie Tan · NPI 1447633904
Family physician in Sunnyside, New York. Individual provider, active in the CMS NPPES registry since July 1, 2015.
## Identity
- **NPI:** 1447633904 (Entity type: Individual)
- **Enumerated:** July 1, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F339427-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4209 47TH AVE APT 5E, Sunnyside, NY 11104-3032
- **Phone:** (917) 476-4864
## 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:** Icahn School Of Medicine At Mount Sinai (NPI 1497029581, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1447633904) · Data from the CMS NPPES public registry.