GLORIA LISEE CHAN ACNP
NPI 1730757527
Nurse Practitioner - Acute Care in New York, NY

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
550 1ST AVE, NEW YORK, NY 10016(212) 263-7000 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Jun 16, 2021 (2 updates tracked since 2021).

About Gloria Lisee Chan Acnp NPPES

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

GLORIA LISEE CHAN ACNP (NPI 1730757527) is an individual acute care provider in New York, New York, licensed in New York (432020) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730757527
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameGLORIA LISEE CHANCredential: ACNP
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address2 Gold St Apt 25eNew York, NY 10038-4986 · (703) 350-1155
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 16, 2021
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 5, 2022
NPI 1730757527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 432020
550 1ST AVE, New York, NY 10016

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

Gloria Lisee Chan Acnp 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 ID6901292184
PECOS Enrollment IDI20250408000393
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

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 Gloria Chan's NPI number?

The NPI number for Gloria Chan is 1730757527. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Gloria Chan located?

Gloria Chan practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-7000.

What is Gloria Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Gloria Chan enrolled in Medicare?

Yes. Gloria Chan 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.

Is Gloria Chan affiliated with any hospitals?

According to CMS data, Gloria Chan is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Gloria Chan was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.