Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE LILY WANG MD
NPI 1487456125
Dermatology in Jacksonville, FL

Active since March 25, 2025PECOS Enrolled
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Jul 1, 2025, Jun 11, 2025 and 2 more (5 updates tracked since 2025).

About Katherine Lily Wang Md NPPES

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

KATHERINE LILY WANG MD (NPI 1487456125) is an individual dermatology provider in Jacksonville, Florida, licensed in Florida (ME183365) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487456125
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKATHERINE LILY WANGCredential: MD
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912
Sole ProprietorNo
Enumeration DateMarch 25, 2025
Last NPPES UpdateJuly 27, 20265 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
NPI 1487456125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME183365
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4500 SAN PABLO RD S, Jacksonville, FL 32224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine Lily Wang Md 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 32224 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

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 Katherine Wang's NPI number?

The NPI number for Katherine Wang is 1487456125. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Katherine Wang located?

Katherine Wang practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Katherine Wang's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Katherine Wang enrolled in Medicare?

Yes. Katherine Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Wang was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.