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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Fan Wu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Multi-Specialty
1250 SHAKESPEARE AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 272 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 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 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.

Which organizations bill Medicare for Fan Wu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fan Wu reassigns Medicare benefits to 4 organizations: Essen Medical Associates, PC (Bronx, NY), Shakespeare Operating LLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and House Call Medical Services Of New York, PLLC (Bronx, NY). Each 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 Fan Wu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 20 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.