STEPHANIE SHU FEN WONG
NPI 1649844655
Physician Assistant in Modesto, CA

Active since May 14, 2021PECOS Enrolled
4601 DALE RD, MODESTO, CA 95356(209) 735-5000 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2023, May 14, 2021 (2 updates tracked since 2021).

About Stephanie Shu Fen Wong NPPES

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

STEPHANIE SHU FEN WONG (NPI 1649844655) is an individual physician assistant in Modesto, California and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649844655
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE SHU FEN WONG
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address4601 Dale RdModesto, CA 95356-9718
Sole ProprietorYes
Enumeration DateMay 14, 2021
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1649844655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X · License 00102159 (CA)
Also ListedRadiologic Technologist · MammographyTaxonomy 2471M2300X · License 00102159 (CA)
4601 DALE RD, Modesto, CA 95356

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 Shu Fen Wong 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 95356 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
MODESTO, CA 95356

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 Wong's NPI number?

The NPI number for Stephanie Wong is 1649844655. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Stephanie Wong located?

Stephanie Wong practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.

What is Stephanie Wong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephanie Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Wong was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.