MICHAEL TEE TAN FNP-BC
NPI 1689480790
Nurse Practitioner - Family in Wahiawa, HI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kaneohe, HI 96744
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: Minuteclinic Diagnostic Of Hawaii, LLC
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAHIAWA, HI 96786
WAHIAWA, HI 96786
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 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.
Where is Michael Tan located?
Michael Tan practices at 925 California Ave, Wahiawa, HI 96786. The listed phone number is (866) 389-2727.
What is Michael Tan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michael Tan enrolled in Medicare?
Yes. Michael Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michael Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tan reassigns Medicare benefits to Minuteclinic Diagnostic Of Hawaii, L.L.C. (Kaneohe, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Tan accept?
Health plans from HMSA list Michael Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 21 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.
# Michael Tee Tan, FNP-BC · NPI 1689480790
Family physician in Wahiawa, Hawaii. Individual provider, active in the CMS NPPES registry since December 4, 2024.
## Identity
- **NPI:** 1689480790 (Entity type: Individual)
- **Enumerated:** December 4, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-4941-0 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 CALIFORNIA AVE, Wahiawa, HI 96786-2123
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Of Hawaii, L.L.C. (NPI 1720329923, Kaneohe, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689480790) · Data from the CMS NPPES public registry.