KRISTIAN WUYSANG
NPI 1619477817
Nurse Practitioner - Family in Fontana, CA

Q: What is Kristian Wuysang's NPI number?

The NPI number for Kristian Wuysang is 1619477817. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Q: What is Kristian Wuysang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristian Wuysang was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 15, 2018PECOS EnrolledAccepts Medicare Assignment

7965 SIERRA AVE STE E, FONTANA, CA 92336(909) 356-4459(909) 355-4261 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 14, 2018, Feb 15, 2018 (2 updates tracked since 2018).

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About Kristian Wuysang NPPES

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

KRISTIAN WUYSANG (NPI 1619477817) is an individual family provider in Fontana, California, licensed in California (95007793) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1619477817

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIAN WUYSANG

Location Address7965 SIERRA AVE STE EFontana, CA 92336

Mailing Address10850 Church St Apt R106Rancho Cucamonga, CA 91730-8051

Phone(909) 356-4459

Fax(909) 355-4261

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateFebruary 15, 2018

Last NPPES UpdateJune 14, 20182 updates tracked since enumeration

✔ NPI 1619477817 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 CA · 95007793

7965 SIERRA AVE STE E, Fontana, CA 92336

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Secondary Practice Location 1

Location 12707 S Central AveLos Angeles, CA 90011-5527 · Phone (323) 234-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristian Wuysang 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 ID8527398791

PECOS Enrollment IDI20191001003210

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 92336 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

1 supplier12 claims12 services$15.44 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier12 claims24 services$1.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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