DENISE FAN MD
NPI 1699619486
Student in an Organized Health Care Education/Training Program in Seattle, WA

Q: What is Denise Fan's NPI number?

The NPI number for Denise Fan is 1699619486. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Q: What is Denise Fan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Denise Fan was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 14, 2026PECOS Enrolled

1550 N 115TH ST # 358828, SEATTLE, WA 98133(206) 543-6577 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Denise Fan Md NPPES

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

DENISE FAN MD (NPI 1699619486) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699619486

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDENISE FANCredential: MD

Location Address1550 N 115TH ST # 358828Seattle, WA 98133-8401

Mailing Address1550 N 115th St # 358828Seattle, WA 98133-8401

Phone(206) 543-6577

Sole ProprietorNo

Enumeration DateApril 14, 2026

NPPES CertifiedApril 14, 2026

✔ NPI 1699619486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1550 N 115TH ST # 358828, Seattle, WA 98133

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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 (PECOS)

Denise Fan Md 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.

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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.

ALEXANDER NELSON WITT MD

Student in an Organized Health Care Education/Training Program