MICHAEL TEE TAN FNP-BC
NPI 1689480790
Nurse Practitioner - Family in Wahiawa, HI

Q: What is Michael Tan's NPI number?

The NPI number for Michael Tan is 1689480790. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Q: What is Michael Tan'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 Michael Tan was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 04, 2024PECOS EnrolledAccepts Medicare Assignment

925 CALIFORNIA AVE, WAHIAWA, HI 96786(866) 389-2727 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Dec 4, 2024 (2 updates tracked since 2024).

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About Michael Tee Tan Fnp-bc NPPES

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

MICHAEL TEE TAN FNP-BC (NPI 1689480790) is an individual family provider in Wahiawa, Hawaii, licensed in Hawaii (APRN-4941-0) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689480790

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMICHAEL TEE TANCredential: FNP-BC

Location Address925 CALIFORNIA AVEWahiawa, HI 96786-2123

Mailing Address925 California AveWahiawa, HI 96786-2123 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 4, 2024

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1689480790 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 HI · APRN-4941-0

925 CALIFORNIA AVE, Wahiawa, HI 96786

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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

Michael Tee Tan Fnp-bc 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 ID6709315922

PECOS Enrollment IDI20250131002765

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 96786 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 8

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

SARAH BRITTANY COOMER FNP

Nurse Practitioner (Family)