ANGIE YUEQI WAN MD
NPI 1649850066
Dermatology in Wauwatosa, WI

Q: What is Angie Wan's NPI number?

The NPI number for Angie Wan is 1649850066. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Angie Wan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angie Wan was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 April 09, 2021PECOS EnrolledAccepts Medicare Assignment

10000 W BLUEMOUND RD, WAUWATOSA, WI 53226(414) 805-5320(414) 805-5320 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 9, 2021 (2 updates tracked since 2021).

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About Angie Yueqi Wan Md NPPES

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

ANGIE YUEQI WAN MD (NPI 1649850066) is an individual dermatology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (85242-20) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649850066

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameANGIE YUEQI WANCredential: MD

Location Address10000 W BLUEMOUND RDWauwatosa, WI 53226-4321

Mailing Address10000 W Bluemound RdWauwatosa, WI 53226-4321 · (414) 805-5320 · Fax (414) 805-5320

Phone(414) 805-5320

Fax(414) 805-5320

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 9, 2021

Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration

NPPES CertifiedAugust 29, 2025

✔ NPI 1649850066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in WI · 85242-20

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.

10000 W BLUEMOUND RD, Wauwatosa, WI 53226

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Secondary Practice Locations 2

Location 1601 N 99th StWauwatosa, WI 53226-4339 · Phone (414) 805-5320 ext. 41480

Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus 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 and accepts Medicare assignment

Angie Yueqi Wan Md 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 ID1456750421

PECOS Enrollment IDI20250916000659

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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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.

JESSICA MARIE DENTON APNP

Nurse Practitioner (Family)