FAN WU
NPI 1710783493
Nurse Practitioner - Gerontology in Bronx, NY

Active since February 22, 2025PECOS EnrolledAccepts Medicare Assignment
2015 GRAND CONCOURSE, BRONX, NY 10453(347) 637-7380 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fan Wu NPPES

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

FAN WU (NPI 1710783493) is an individual gerontology provider in Bronx, New York, licensed in New York (F411863-01) and active in the NPI registry since February 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710783493
Entity TypeIndividual
Primary Taxonomy363LG0600X
Provider Legal NameFAN WU
Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303
Mailing Address2626 Halperin Ave Fl 1Bronx, NY 10461-2631 · (718) 618-0401
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 22, 2025
NPPES CertifiedFebruary 22, 2025
NPI 1710783493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NY · F411863-01
2015 GRAND CONCOURSE, Bronx, NY 10453

Other Names 1

Other Name (5)Fan Wu Np

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

Fan Wu 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 ID5395266571
PECOS Enrollment IDI20250304002299
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 10453 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Internal Medicine (Infectious Disease)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Family Medicine
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Women's Health)
2015 GRAND CONCOURSE
BRONX, NY 10453

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 Fan Wu's NPI number?

The NPI number for Fan Wu is 1710783493. It was assigned to this individual provider in the NPPES registry on February 22, 2025. The provider is also known as Fan Wu Np.

Where is Fan Wu located?

Fan Wu practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (347) 637-7380.

What is Fan Wu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Fan Wu enrolled in Medicare?

Yes. Fan Wu 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.

When was this NPI record last updated?

The NPPES record for Fan Wu was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.