CHUNLIU GONG
NPI 1609500792
Nurse Practitioner - Pediatrics in Tacoma, WA

Q: What is Chunliu Gong's NPI number?

The NPI number for Chunliu Gong is 1609500792. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Chunliu Gong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Chunliu Gong was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 13, 2022PECOS Enrolled

317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1400 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chunliu Gong NPPES

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

CHUNLIU GONG (NPI 1609500792) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (AP61327907) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609500792

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCHUNLIU GONG

Location Address317 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234

Mailing Address2257 22nd Pl SeAlbany, OR 97322-5470

Phone(253) 403-1400

Sole ProprietorNo

Enumeration DateJuly 13, 2022

NPPES CertifiedJuly 13, 2022

✔ NPI 1609500792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WA · AP61327907

317 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chunliu Gong 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 98405 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

JUYOUNG PARK

Student in an Organized Health Care Education/Training Program